Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $164.86 / $308.85	Facility		$97.14	$164.86	$308.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $97.14 / $164.86	Professional		$85.70	$97.14	$164.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.20 / $531.97 / $1,213.27	Facility		$299.20	$531.97	$1,213.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $57.52 / $192.99	Professional		$23.29	$57.52	$192.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $259.64 / $781.10	Facility		$130.22	$259.64	$781.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $148.26 / $227.86	Professional		$87.43	$148.26	$227.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $162.97 / $633.90	Professional		$104.14	$162.97	$633.90
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 $120.46 / $123.07 / $133.84	Professional		$120.46	$123.07	$133.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $32.34 / $140.01	Professional		$25.21	$32.34	$140.01
United Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $143.09 / $219.87	Professional		$106.72	$143.09	$219.87