Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $186.21 / $331.13	Facility		$102.33	$186.21	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $234.42	Professional		$91.20	$114.82	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $575.44 / $1,230.27	Facility		$338.84	$575.44	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $218.78 / $691.83	Facility		$83.18	$218.78	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $275.42	Professional		$95.50	$165.96	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $645.65	Professional		$109.65	$190.55	$645.65
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 $128.82 / $131.83 / $141.25	Professional		$128.82	$131.83	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $338.84 / $1,071.52	Facility		$141.25	$338.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $234.42	Professional		$114.82	$162.18	$234.42