Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.15 / $171.94 / $223.52	Facility		$82.15	$171.94	$223.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $78.33 / $121.41	Professional		$47.75	$78.33	$121.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.94 / $430.85 / $1,263.58	Facility		$128.94	$430.85	$1,263.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $73.55 / $73.55	Professional		$3.50	$73.55	$73.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.79 / $228.49 / $439.28	Facility		$90.79	$228.49	$439.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $109.86 / $145.59	Professional		$52.74	$109.86	$145.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $152.83 / $302.10	Professional		$97.43	$152.83	$302.10
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 $124.18 / $124.18 / $124.18	Professional		$124.18	$124.18	$124.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $65.53 / $119.40	Professional		$35.10	$65.53	$119.40
United Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $95.52 / $114.62	Facility		$55.40	$95.52	$114.62
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $60.85 / $98.39	Professional		$40.11	$60.85	$98.39