Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $154.88	Facility		$74.13	$74.13	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $125.89	Professional		$50.12	$74.13	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $288.40 / $1,047.13	Facility		$181.97	$288.40	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $134.90	Facility		$97.72	$97.72	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $151.36	Professional		$70.79	$70.79	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $208.93	Professional		$128.82	$162.18	$208.93
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 $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $114.82	Professional		$79.43	$79.43	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $190.55	Facility		$77.62	$120.23	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $109.65	Professional		$52.48	$75.86	$109.65