Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $251.19	Facility		$79.43	$131.83	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $147.91	Professional		$63.10	$79.43	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $213.80 / $660.69	Facility		$125.89	$213.80	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $97.72 / $186.21	Professional		$38.90	$97.72	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $112.20 / $251.19	Facility		$51.29	$112.20	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $165.96	Professional		$69.18	$109.65	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $489.78	Professional		$93.33	$154.88	$489.78
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 $100.00 / $102.33 / $109.65	Professional		$100.00	$102.33	$109.65
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 $52.48 / $74.13 / $229.09	Facility		$52.48	$74.13	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $144.54	Professional		$69.18	$93.33	$144.54