Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $171.04 / $227.88	Facility		$91.23	$171.04	$227.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $134.83 / $205.45	Professional		$128.47	$134.83	$205.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $534.67 / $1,855.04	Facility		$224.00	$534.67	$1,855.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.21 / $160.21 / $160.21	Professional		$160.21	$160.21	$160.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Facility		$148.32	$148.32	$148.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $24.25 / $231.16	Professional		$14.82	$24.25	$231.16
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 $106.05 / $106.05 / $132.93	Professional		$106.05	$106.05	$132.93
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $156.27 / $162.59	Professional		$132.43	$156.27	$162.59