Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.57 / $108.57 / $174.85	Facility		$108.57	$108.57	$174.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $98.74 / $135.08	Professional		$47.72	$98.74	$135.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.52 / $428.93 / $553.35	Facility		$359.52	$428.93	$553.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $104.10 / $125.71	Professional		$104.10	$104.10	$125.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $396.14 / $827.11	Facility		$82.86	$396.14	$827.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $145.28 / $213.66	Professional		$102.61	$145.28	$213.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $150.00 / $220.97	Professional		$108.03	$150.00	$220.97
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $127.67 / $127.67	Professional		$127.67	$127.67	$127.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,500.00	Professional		$32.34	$32.34	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $104.24 / $184.65	Professional		$75.67	$104.24	$184.65