Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $167.66 / $288.75	Facility		$79.20	$167.66	$288.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $80.45 / $124.70	Professional		$75.23	$80.45	$124.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $422.26 / $1,297.77	Facility		$132.44	$422.26	$1,297.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $71.76 / $75.54	Professional		$3.50	$71.76	$75.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $234.67 / $451.19	Facility		$136.44	$234.67	$451.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $112.75 / $149.71	Professional		$46.24	$112.75	$149.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.41 / $220.75	Professional		$100.00	$138.41	$220.75
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 $127.54 / $127.54 / $127.54	Professional		$127.54	$127.54	$127.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $67.30 / $98.11	Professional		$40.53	$67.30	$98.11
United Facility/Professional Facility Modifier Low / Median / High Price $108.77 / $108.77 / $108.77	Facility		$108.77	$108.77	$108.77
United Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $58.87 / $117.73	Professional		$36.47	$58.87	$117.73