Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $229.09 / $794.33	Facility		$128.82	$229.09	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $281.84	Professional		$151.36	$213.80	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $346.74 / $831.76	Facility		$199.53	$346.74	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $114.82 / $218.78	Professional		$50.12	$114.82	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $151.36 / $354.81	Facility		$56.23	$151.36	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $213.80	Professional		$83.18	$134.90	$213.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $501.19	Professional		$120.23	$199.53	$501.19
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 / $154.88	Professional		$128.82	$128.82	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $630.96	Facility		$199.53	$199.53	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $263.03 / $416.87	Professional		$107.15	$263.03	$416.87