Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $199.53 / $323.59	Facility		$102.33	$199.53	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $234.42	Professional		$87.10	$109.65	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $489.78 / $1,174.90	Facility		$128.82	$489.78	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $125.89 / $181.97	Professional		$42.66	$125.89	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $194.98 / $691.83	Facility		$72.44	$194.98	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $257.04	Professional		$85.11	$151.36	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $724.44	Professional		$114.82	$218.78	$724.44
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 $128.82 / $128.82 / $141.25	Professional		$128.82	$128.82	$141.25
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 $50.12 / $512.86 / $1,659.59	Facility		$50.12	$512.86	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $223.87	Professional		$100.00	$138.04	$223.87