Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.72 / $122.23 / $162.77	Facility		$65.72	$122.23	$162.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $69.23 / $122.23	Professional		$58.47	$69.23	$122.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.76 / $502.06 / $1,147.76	Facility		$289.76	$502.06	$1,147.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $80.59 / $130.38	Professional		$26.60	$80.59	$130.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.35 / $159.09 / $447.37	Facility		$88.35	$159.09	$447.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $104.34 / $182.47	Professional		$61.29	$104.34	$182.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $121.73 / $363.00	Professional		$79.98	$121.73	$363.00
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 $82.03 / $83.73 / $90.43	Professional		$82.03	$83.73	$90.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $32.34 / $94.60	Professional		$28.91	$32.34	$94.60
United Facility/Professional Facility Modifier Low / Median / High Price $280.22 / $280.22 / $368.90	Facility		$280.22	$280.22	$368.90
United Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $110.13 / $183.83	Professional		$74.70	$110.13	$183.83