Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $151.36 / $805.71	Facility		$101.04	$151.36	$805.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $98.09 / $241.30	Professional		$77.73	$98.09	$241.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $184.27 / $1,253.60	Facility		$66.01	$184.27	$1,253.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $93.76 / $119.92	Professional		$79.70	$93.76	$119.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.46 / $95.46 / $95.46	Facility		$95.46	$95.46	$95.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $113.63 / $178.58	Professional		$87.18	$113.63	$178.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $117.69 / $334.95	Professional		$87.18	$117.69	$334.95
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 $96.90 / $105.51 / $113.33	Professional		$96.90	$105.51	$113.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $128.15	Professional		$32.34	$32.34	$128.15
United Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $114.68 / $189.40	Professional		$83.23	$114.68	$189.40