Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $111.71 / $128.12	Facility		$70.59	$111.71	$128.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $77.81 / $103.06	Professional		$64.78	$77.81	$103.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $606.66 / $1,247.28	Facility		$91.10	$606.66	$1,247.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $87.93 / $119.15	Professional		$76.55	$87.93	$119.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.31 / $100.31 / $110.00	Facility		$100.31	$100.31	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $102.54 / $151.46	Professional		$70.94	$102.54	$151.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $103.92 / $184.93	Professional		$69.41	$103.92	$184.93
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 $82.12 / $84.60 / $103.06	Professional		$82.12	$84.60	$103.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $24.23 / $24.90	Professional		$24.23	$24.23	$24.90
United Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $99.22 / $177.93	Professional		$75.42	$99.22	$177.93