Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $234.42	Facility		$89.13	$117.49	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $112.20	Professional		$89.13	$89.13	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $331.13	Facility		$177.83	$213.80	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $104.71	Professional		$89.13	$89.13	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $575.44	Professional		$81.28	$158.49	$575.44
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 $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $151.36	Facility		$91.20	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $223.87	Professional		$107.15	$128.82	$223.87