Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $167.06 / $272.51	Facility		$99.15	$167.06	$272.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $107.53 / $143.43	Professional		$93.42	$107.53	$143.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $310.10 / $1,568.57	Facility		$168.13	$310.10	$1,568.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $130.26 / $155.56	Professional		$115.06	$130.26	$155.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $75.00 / $100.00	Facility		$60.00	$75.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $132.68 / $197.88	Professional		$69.38	$132.68	$197.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $140.44 / $216.49	Professional		$96.92	$140.44	$216.49
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 $126.00 / $127.22 / $134.88	Professional		$126.00	$127.22	$134.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $145.25	Professional		$32.34	$32.34	$145.25
United Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $121.52 / $225.51	Professional		$88.93	$121.52	$225.51