Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.03 / $127.55 / $199.06	Facility		$113.03	$127.55	$199.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $137.90 / $231.40	Professional		$115.54	$137.90	$231.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.20 / $454.21 / $1,646.95	Facility		$187.20	$454.21	$1,646.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $127.93 / $127.93	Professional		$127.93	$127.93	$127.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $24.25 / $219.34	Professional		$14.82	$24.25	$219.34
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 $17.54 / $17.54 / $97.20	Professional		$17.54	$17.54	$97.20
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $135.57 / $144.07	Professional		$120.06	$135.57	$144.07