Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $478.63 / $478.63	Facility		$128.82	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $602.56	Professional		$251.19	$446.68	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $346.74 / $851.14	Facility		$158.49	$346.74	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $83.18 / $120.23	Professional		$31.62	$83.18	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $117.49 / $426.58	Facility		$42.66	$117.49	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $141.25	Professional		$58.88	$95.50	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $380.19	Professional		$95.50	$181.97	$380.19
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 $95.50 / $95.50 / $117.49	Professional		$95.50	$95.50	$117.49
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 $53.70 / $457.09 / $1,348.96	Facility		$53.70	$457.09	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $478.63 / $870.96	Professional		$81.28	$478.63	$870.96