Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.87 / $205.41 / $351.21	Facility		$110.87	$205.41	$351.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $110.87 / $205.41	Professional		$102.82	$110.87	$205.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.99 / $407.66 / $978.89	Facility		$249.99	$407.66	$978.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $124.74 / $370.67	Facility		$79.61	$124.74	$370.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $177.61 / $303.68	Professional		$113.67	$177.61	$303.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $204.26 / $628.36	Professional		$122.92	$204.26	$628.36
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 $143.53 / $144.60 / $152.19	Professional		$143.53	$144.60	$152.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.83 / $159.22	Professional		$32.34	$58.83	$159.22
United Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $90.19 / $448.26	Facility		$40.61	$90.19	$448.26
United Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $180.96 / $309.19	Professional		$125.59	$180.96	$309.19