Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $166.94 / $327.56	Facility		$58.96	$166.94	$327.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $59.36 / $94.88	Professional		$49.11	$59.36	$94.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.27 / $552.33 / $1,204.72	Facility		$176.27	$552.33	$1,204.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $74.03 / $74.03	Professional		$62.42	$74.03	$74.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $146.47	Facility		$76.68	$76.68	$146.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $76.68 / $111.38	Professional		$55.98	$76.68	$111.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.41 / $145.18 / $186.90	Professional		$97.41	$145.18	$186.90
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 $126.63 / $126.63 / $126.63	Professional		$126.63	$126.63	$126.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $98.22 / $103.13	Professional		$68.75	$98.22	$103.13
United Facility/Professional Facility Modifier Low / Median / High Price $48.52 / $71.01 / $97.41	Facility		$48.52	$71.01	$97.41
United Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $79.81 / $137.66	Professional		$55.21	$79.81	$137.66