Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $208.93 / $524.81	Facility		$120.23	$208.93	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $158.49	Professional		$81.28	$114.82	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $389.05 / $1,202.26	Facility		$223.87	$389.05	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $158.49	Professional		$120.23	$151.36	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $70.79 / $158.49	Facility		$54.95	$70.79	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $281.84	Professional		$97.72	$177.83	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $302.00	Professional		$83.18	$125.89	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $114.82	Professional		$104.71	$107.15	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.92 / $28.18	Professional		$26.30	$26.92	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $162.18	Facility		$138.04	$138.04	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $190.55	Professional		$104.71	$141.25	$190.55