Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $181.97	Facility		$91.20	$91.20	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $181.97	Professional		$89.13	$102.33	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $1,778.28	Facility		$218.78	$295.12	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $138.04	Professional		$120.23	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $120.23	Facility		$117.49	$117.49	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $208.93	Professional		$85.11	$85.11	$208.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $251.19	Professional		$154.88	$194.98	$251.19
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 $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $104.71	Professional		$72.44	$72.44	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $144.54 / $295.12	Facility		$75.86	$144.54	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $151.36	Professional		$70.79	$89.13	$151.36