Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.93 / $137.41 / $317.77	Facility		$86.93	$137.41	$317.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $89.57 / $118.84	Professional		$77.69	$89.57	$118.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.51 / $320.11 / $1,322.23	Facility		$138.51	$320.11	$1,322.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $109.74 / $120.62	Professional		$94.25	$109.74	$120.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $75.00 / $108.00	Facility		$60.00	$75.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $97.73 / $151.27	Professional		$57.98	$97.73	$151.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $118.69 / $201.25	Professional		$76.48	$118.69	$201.25
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 $103.73 / $104.65 / $110.47	Professional		$103.73	$104.65	$110.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $118.97	Professional		$32.34	$32.34	$118.97
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $101.46 / $171.90	Professional		$76.09	$101.46	$171.90