Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $104.37 / $312.66	Facility		$84.49	$104.37	$312.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $118.09	Professional		$84.48	$84.49	$118.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $370.26 / $1,265.33	Facility		$21.65	$370.26	$1,265.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $100.39 / $100.39	Professional		$100.39	$100.39	$100.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $21.55 / $229.98	Professional		$14.82	$21.55	$229.98
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $73.17 / $76.54	Professional		$73.17	$73.17	$76.54
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $97.74 / $130.53	Professional		$82.83	$97.74	$130.53