Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.95 / $242.11 / $372.26	Facility		$116.95	$242.11	$372.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $109.83 / $142.63	Professional		$93.78	$109.83	$142.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.16 / $245.32 / $1,621.09	Facility		$147.16	$245.32	$1,621.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $98.41 / $109.83	Professional		$3.50	$98.41	$109.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.14 / $348.80 / $656.68	Facility		$181.14	$348.80	$656.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $165.60 / $240.78	Professional		$66.31	$165.60	$240.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $232.99 / $380.07	Professional		$156.88	$232.99	$380.07
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 $185.42 / $185.42 / $185.42	Professional		$185.42	$185.42	$185.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.98 / $193.98 / $213.95	Professional		$193.98	$193.98	$213.95
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $149.90	Professional		$59.90	$85.58	$149.90