Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $181.97	Facility		$87.10	$87.10	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $181.97	Professional		$75.86	$91.20	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $346.74 / $1,230.27	Facility		$213.80	$346.74	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $134.90 / $134.90	Professional		$131.83	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $229.09	Facility		$112.20	$112.20	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $208.93	Professional		$83.18	$83.18	$208.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $229.09	Professional		$144.54	$177.83	$229.09
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 $95.50 / $95.50 / $134.90	Professional		$95.50	$95.50	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $144.54 / $263.03	Facility		$107.15	$144.54	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $144.54	Professional		$67.61	$89.13	$144.54