Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $186.21 / $549.54	Facility		$93.33	$186.21	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $229.09	Professional		$61.66	$93.33	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $371.54 / $1,071.52	Facility		$138.04	$371.54	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $158.49	Professional		$123.03	$123.03	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $85.11 / $151.36	Facility		$54.95	$85.11	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $199.53	Professional		$95.50	$138.04	$199.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $309.03	Professional		$104.71	$158.49	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $144.54	Professional		$138.04	$138.04	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $123.03 / $186.21	Facility		$109.65	$123.03	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $173.78	Professional		$83.18	$112.20	$173.78