Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.36 / $211.36 / $414.18	Facility		$106.36	$211.36	$414.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.47 / $106.36 / $219.24	Professional		$96.47	$106.36	$219.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.44 / $565.72 / $1,636.05	Facility		$169.44	$565.72	$1,636.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $85.34 / $95.23	Professional		$3.50	$85.34	$95.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.04 / $301.89 / $568.83	Facility		$157.04	$301.89	$568.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $153.08 / $225.00	Professional		$64.36	$153.08	$225.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.86 / $210.26 / $593.62	Professional		$129.86	$210.26	$593.62
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 $160.78 / $160.78 / $160.78	Professional		$160.78	$160.78	$160.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $168.20 / $185.52	Professional		$22.99	$168.20	$185.52
United Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $129.86 / $305.49	Facility		$123.68	$129.86	$305.49
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $80.39 / $144.43	Professional		$51.95	$80.39	$144.43