Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $142.88 / $206.39	Facility		$72.31	$142.88	$206.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $72.31 / $112.10	Professional		$67.91	$72.31	$112.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.07 / $381.24 / $1,166.69	Facility		$119.07	$381.24	$1,166.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $67.91 / $134.06	Professional		$4.50	$67.91	$134.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $195.79 / $406.52	Facility		$64.52	$195.79	$406.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $107.69 / $149.06	Professional		$45.17	$107.69	$149.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $154.35 / $329.40	Professional		$97.02	$154.35	$329.40
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 $114.66 / $114.66 / $114.66	Professional		$114.66	$114.66	$114.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $119.95 / $132.30	Professional		$29.50	$119.95	$132.30
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $52.92 / $88.20	Professional		$37.04	$52.92	$88.20