Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.53 / $210.93 / $497.32	Facility		$120.53	$210.93	$497.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $120.53 / $184.25	Professional		$104.65	$120.53	$184.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.12 / $334.92 / $2,929.85	Facility		$110.12	$334.92	$2,929.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $195.16 / $292.20	Professional		$162.32	$195.16	$292.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $250.38 / $913.16	Facility		$142.50	$250.38	$913.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.09 / $170.47 / $283.87	Professional		$117.09	$170.47	$283.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $194.57 / $665.32	Professional		$125.92	$194.57	$665.32
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 $150.15 / $157.08 / $168.62	Professional		$150.15	$157.08	$168.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $135.47 / $135.47 / $219.00	Facility		$135.47	$135.47	$219.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $181.22 / $286.55	Professional		$114.10	$181.22	$286.55