Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $120.32 / $171.69	Facility		$60.16	$120.32	$171.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $60.16 / $93.25	Professional		$56.49	$60.16	$93.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.04 / $326.11 / $970.49	Facility		$99.04	$326.11	$970.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $56.49 / $111.52	Professional		$4.50	$56.49	$111.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.06 / $179.10 / $338.02	Facility		$101.06	$179.10	$338.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $84.04 / $123.94	Professional		$34.04	$84.04	$123.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $117.29 / $181.34	Professional		$80.70	$117.29	$181.34
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 $95.38 / $95.38 / $95.38	Professional		$95.38	$95.38	$95.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $99.78 / $110.06	Professional		$99.78	$99.78	$110.06
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $77.11	Professional		$30.82	$44.02	$77.11