Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $213.06 / $224.54	Facility		$145.47	$213.06	$224.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $145.47 / $207.53	Professional		$125.10	$145.47	$207.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $850.69 / $1,978.97	Facility		$81.73	$850.69	$1,978.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $131.27 / $198.96	Professional		$45.34	$131.27	$198.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.31 / $151.37 / $239.60	Facility		$82.31	$151.37	$239.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $194.83 / $315.85	Professional		$131.38	$194.83	$315.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.32 / $194.82 / $526.79	Professional		$129.32	$194.82	$526.79
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 $153.87 / $158.18 / $168.84	Professional		$153.87	$158.18	$168.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.15 / $176.64	Professional		$32.34	$39.15	$176.64
United Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $179.75 / $312.22	Professional		$132.08	$179.75	$312.22