Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.13 / $144.44 / $992.49	Facility		$120.13	$144.44	$992.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $80.98 / $299.77	Professional		$70.75	$80.98	$299.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.69 / $134.94 / $1,126.68	Facility		$46.69	$134.94	$1,126.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $82.92 / $106.41	Professional		$70.48	$82.92	$106.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $100.22 / $154.03	Professional		$76.15	$100.22	$154.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $104.07 / $276.95	Professional		$77.14	$104.07	$276.95
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 $87.31 / $93.63 / $100.22	Professional		$87.31	$93.63	$100.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $104.84	Professional		$32.34	$32.34	$104.84
United Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $96.51 / $164.18	Professional		$71.54	$96.51	$164.18