Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $204.17 / $549.54	Facility		$107.15	$204.17	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $208.93	Professional		$104.71	$138.04	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $177.83 / $2,041.74	Facility		$120.23	$177.83	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $281.84	Professional		$162.18	$194.98	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $245.47 / $467.74	Facility		$109.65	$245.47	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $229.09	Professional		$112.20	$169.82	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $724.44	Professional		$120.23	$204.17	$724.44
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 $151.36 / $158.49 / $169.82	Professional		$151.36	$158.49	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $275.42	Facility		$91.20	$91.20	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $263.03	Professional		$114.82	$177.83	$263.03