Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.27 / $127.62 / $222.51	Facility		$92.27	$127.62	$222.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $92.27 / $132.18	Professional		$73.62	$92.27	$132.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.36 / $306.66 / $1,122.70	Facility		$141.36	$306.66	$1,122.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $109.55 / $199.50	Professional		$22.10	$109.55	$199.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.69 / $229.89 / $619.38	Facility		$107.69	$229.89	$619.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.88 / $111.92 / $171.51	Professional		$69.88	$111.92	$171.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $152.13 / $385.08	Professional		$102.21	$152.13	$385.08
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 $111.49 / $115.26 / $123.62	Professional		$111.49	$115.26	$123.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $32.34 / $129.32	Professional		$24.02	$32.34	$129.32
United Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $105.73 / $171.30	Professional		$80.31	$105.73	$171.30