Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.70 / $125.02 / $216.90	Facility		$67.70	$125.02	$216.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $67.70 / $125.02	Professional		$59.21	$67.70	$125.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.46 / $573.86 / $1,477.35	Facility		$178.46	$573.86	$1,477.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $192.39 / $575.84	Facility		$130.49	$192.39	$575.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $101.23 / $175.35	Professional		$62.37	$101.23	$175.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $108.45 / $423.22	Professional		$75.38	$108.45	$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 $83.90 / $85.22 / $93.99	Professional		$83.90	$85.22	$93.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $32.34 / $98.33	Professional		$12.70	$32.34	$98.33
United Facility/Professional Facility Modifier Low / Median / High Price $466.42 / $466.42 / $565.58	Facility		$466.42	$466.42	$565.58
United Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $99.37 / $148.47	Professional		$73.58	$99.37	$148.47