Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $223.87 / $223.87	Facility		$93.33	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $288.40	Professional		$154.88	$208.93	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $323.59 / $758.58	Facility		$186.21	$323.59	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $95.50 / $169.82	Professional		$37.15	$95.50	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $125.89 / $269.15	Facility		$50.12	$125.89	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $165.96	Professional		$72.44	$112.20	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $309.03 / $457.09	Professional		$128.82	$309.03	$457.09
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 $112.20 / $245.47 / $309.03	Professional		$112.20	$245.47	$309.03
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 $63.10 / $199.53 / $575.44	Facility		$63.10	$199.53	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $263.03 / $446.68	Professional		$93.33	$263.03	$446.68