Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,096.48 / $2,511.89	Facility		$125.89	$1,096.48	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $323.59	Professional		$81.28	$117.49	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $125.89 / $151.36	Facility		$112.20	$125.89	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $245.47	Facility		$85.11	$85.11	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $223.87	Professional		$89.13	$147.91	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 / $74.13 / $229.09	Facility		$74.13	$74.13	$229.09