Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $124.55 / $270.25	Facility		$80.00	$124.55	$270.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $73.36 / $115.36	Professional		$58.92	$73.36	$115.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $249.24 / $943.45	Facility		$141.44	$249.24	$943.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $105.75 / $123.22	Professional		$78.38	$105.75	$123.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $75.00 / $109.61	Facility		$60.00	$75.00	$109.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $105.45 / $159.61	Professional		$67.73	$105.45	$159.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $145.11 / $230.87	Professional		$96.74	$145.11	$230.87
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 $125.76 / $126.88 / $134.41	Professional		$125.76	$126.88	$134.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $144.76	Professional		$32.34	$32.34	$144.76
United Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $82.13 / $138.11	Professional		$69.41	$82.13	$138.11