Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.75 / $223.73 / $375.12	Facility		$117.75	$223.73	$375.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $117.75 / $223.73	Professional		$103.90	$117.75	$223.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.39 / $559.52 / $1,625.33	Facility		$322.39	$559.52	$1,625.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $311.36 / $937.32	Facility		$212.14	$311.36	$937.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $175.06 / $307.45	Professional		$109.54	$175.06	$307.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.04 / $187.56 / $733.70	Professional		$125.04	$187.56	$733.70
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 $146.47 / $149.63 / $162.55	Professional		$146.47	$149.63	$162.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.40 / $170.05	Professional		$32.34	$32.40	$170.05
United Facility/Professional Facility Modifier Low / Median / High Price $29.47 / $163.86 / $803.66	Facility		$29.47	$163.86	$803.66
United Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $176.97 / $270.06	Professional		$129.02	$176.97	$270.06