Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.79 / $129.09 / $252.18	Facility		$80.79	$129.09	$252.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $80.79 / $131.00	Professional		$63.43	$80.79	$131.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.75 / $226.92 / $759.19	Facility		$125.75	$226.92	$759.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $96.20 / $187.13	Professional		$38.95	$96.20	$187.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.78 / $146.13 / $261.87	Facility		$74.78	$146.13	$261.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.58 / $114.63 / $157.19	Professional		$68.58	$114.63	$157.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.47 / $134.50 / $423.22	Professional		$92.47	$134.50	$423.22
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 $99.35 / $101.65 / $109.28	Professional		$99.35	$101.65	$109.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.32 / $114.32	Professional		$32.34	$42.32	$114.32
United Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $98.70 / $155.09	Professional		$70.50	$98.70	$155.09