Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.43 / $180.50 / $186.59	Facility		$168.43	$180.50	$186.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $102.07 / $164.37	Professional		$84.66	$102.07	$164.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.92 / $509.41 / $509.41	Facility		$244.92	$509.41	$509.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $165.26 / $166.57	Professional		$126.65	$165.26	$166.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $158.50 / $224.65	Professional		$111.16	$158.50	$224.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $176.70 / $571.73	Professional		$123.28	$176.70	$571.73
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 $138.16 / $143.57 / $152.63	Professional		$138.16	$143.57	$152.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.68	Professional		$32.34	$32.34	$159.68
United Facility/Professional Professional Modifier Low / Median / High Price $108.82 / $141.66 / $221.52	Professional		$108.82	$141.66	$221.52