Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.61 / $111.48 / $164.52	Facility		$83.61	$111.48	$164.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $94.76 / $139.51	Professional		$75.75	$94.76	$139.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.27 / $413.89 / $1,636.08	Facility		$172.27	$413.89	$1,636.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $132.59 / $137.97	Professional		$124.30	$132.59	$137.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $149.16 / $198.88	Professional		$77.68	$149.16	$198.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $170.53 / $270.74	Professional		$102.01	$170.53	$270.74
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 $156.85 / $161.59 / $172.35	Professional		$156.85	$161.59	$172.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.60	Professional		$32.34	$32.34	$159.60
United Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $131.47 / $224.71	Professional		$85.26	$131.47	$224.71