Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.14 / $110.92 / $195.46	Facility		$83.14	$110.92	$195.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $82.48 / $116.11	Professional		$63.92	$82.48	$116.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.40 / $234.03 / $1,010.91	Facility		$98.40	$234.03	$1,010.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $61.54 / $156.57	Professional		$19.64	$61.54	$156.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $206.65 / $508.78	Facility		$92.46	$206.65	$508.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $98.83 / $150.35	Professional		$57.46	$98.83	$150.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $133.65 / $344.40	Professional		$85.58	$133.65	$344.40
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 $97.66 / $100.40 / $108.59	Professional		$97.66	$100.40	$108.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $32.34 / $113.60	Professional		$21.35	$32.34	$113.60
United Facility/Professional Facility Modifier Low / Median / High Price $216.41 / $216.41 / $322.77	Facility		$216.41	$216.41	$322.77
United Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $93.05 / $160.85	Professional		$63.84	$93.05	$160.85