Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.15 / $166.47 / $256.70	Facility		$91.15	$166.47	$256.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $101.12 / $135.56	Professional		$89.37	$101.12	$135.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.12 / $301.87 / $1,963.12	Facility		$156.12	$301.87	$1,963.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $161.37 / $185.02	Professional		$107.56	$161.37	$185.02
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 $77.00 / $124.14 / $189.50	Professional		$77.00	$124.14	$189.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $130.94 / $198.77	Professional		$87.29	$130.94	$198.77
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 $118.29 / $118.87 / $126.09	Professional		$118.29	$118.87	$126.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $135.79	Professional		$32.34	$32.34	$135.79
United Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $105.14 / $135.81	Facility		$105.14	$105.14	$135.81
United Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $114.27 / $210.44	Professional		$86.28	$114.27	$210.44