Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.34 / $141.38 / $337.81	Facility		$94.34	$141.38	$337.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $86.26 / $133.94	Professional		$63.27	$86.26	$133.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.12 / $396.00 / $1,464.33	Facility		$142.12	$396.00	$1,464.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.57 / $124.34 / $159.47	Professional		$123.57	$124.34	$159.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $85.00 / $150.00	Facility		$60.00	$85.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $138.16 / $196.91	Professional		$98.08	$138.16	$196.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $158.25 / $294.99	Professional		$105.47	$158.25	$294.99
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 $137.11 / $137.15 / $145.76	Professional		$137.11	$137.15	$145.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $156.97	Professional		$32.34	$32.34	$156.97
United Facility/Professional Facility Modifier Low / Median / High Price $119.55 / $131.88 / $180.41	Facility		$119.55	$131.88	$180.41
United Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $111.27 / $193.10	Professional		$83.34	$111.27	$193.10