Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.70 / $164.94 / $202.46	Facility		$121.70	$164.94	$202.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $107.59 / $204.10	Professional		$73.42	$107.59	$204.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.69 / $236.72 / $1,617.66	Facility		$99.69	$236.72	$1,617.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $136.84 / $206.66	Professional		$116.31	$136.84	$206.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.31 / $88.53 / $169.38	Facility		$82.31	$88.53	$169.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $128.47 / $186.87	Professional		$67.00	$128.47	$186.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $155.78 / $271.70	Professional		$99.59	$155.78	$271.70
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 $135.01 / $140.72 / $151.83	Professional		$135.01	$140.72	$151.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $175.19	Professional		$32.34	$32.34	$175.19
United Facility/Professional Facility Modifier Low / Median / High Price $89.04 / $139.32 / $207.16	Facility		$89.04	$139.32	$207.16
United Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $118.37 / $233.91	Professional		$66.81	$118.37	$233.91