Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $123.28 / $369.08	Facility		$64.79	$123.28	$369.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $68.51 / $169.22	Professional		$47.44	$68.51	$169.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.32 / $205.70 / $1,170.58	Facility		$96.32	$205.70	$1,170.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $99.73 / $120.65	Professional		$85.46	$99.73	$120.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $75.00 / $101.27	Facility		$60.00	$75.00	$101.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $88.67 / $143.02	Professional		$32.46	$88.67	$143.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $106.83 / $184.94	Professional		$69.09	$106.83	$184.94
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $94.93 / $100.18	Professional		$94.38	$94.93	$100.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $107.88	Professional		$32.34	$32.34	$107.88
United Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $88.24 / $157.35	Professional		$66.86	$88.24	$157.35