Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $218.78 / $295.12	Facility		$107.15	$218.78	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $181.97	Professional		$81.28	$107.15	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $446.68 / $977.24	Facility		$208.93	$446.68	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $114.82 / $154.88	Professional		$33.11	$114.82	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $177.83 / $457.09	Facility		$70.79	$177.83	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $194.98	Professional		$85.11	$131.83	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $501.19	Professional		$114.82	$204.17	$501.19
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $128.82	Professional		$114.82	$117.49	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $295.12 / $933.25	Facility		$66.07	$295.12	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $194.98	Professional		$97.72	$125.89	$194.98