Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.87 / $98.92 / $329.84	Facility		$78.87	$98.92	$329.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $98.92 / $161.21	Professional		$60.90	$98.92	$161.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.55 / $390.05 / $1,656.04	Facility		$230.55	$390.05	$1,656.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $146.27 / $146.27	Professional		$115.59	$146.27	$146.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $210.63	Facility		$107.42	$107.42	$210.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $223.13	Professional		$78.42	$107.42	$223.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.21 / $223.88 / $276.33	Professional		$173.21	$223.88	$276.33
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 $250.20 / $250.20 / $250.20	Professional		$250.20	$250.20	$250.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $117.61 / $123.49	Professional		$82.32	$117.61	$123.49
United Facility/Professional Facility Modifier Low / Median / High Price $58.13 / $85.00 / $192.46	Facility		$58.13	$85.00	$192.46
United Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $95.52 / $160.03	Professional		$71.47	$95.52	$160.03