Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $114.82 / $128.82	Facility		$102.33	$114.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $204.17	Professional		$87.10	$114.82	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $245.47 / $645.65	Facility		$134.90	$245.47	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $208.93	Professional		$66.07	$123.03	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $109.65 / $302.00	Facility		$38.90	$109.65	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $194.98	Professional		$79.43	$125.89	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $549.54	Professional		$125.89	$213.80	$549.54
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 $123.03 / $123.03 / $144.54	Professional		$123.03	$123.03	$144.54
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 $74.13 / $89.13 / $281.84	Facility		$74.13	$89.13	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $316.23	Professional		$107.15	$169.82	$316.23