Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $338.84	Facility		$114.82	$194.98	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $123.03	Professional		$74.13	$91.20	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $151.36 / $181.97	Facility		$134.90	$151.36	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $208.93 / $512.86	Facility		$72.44	$208.93	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $169.82	Professional		$128.82	$138.04	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $288.40	Professional		$112.20	$151.36	$288.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $112.20 / $223.87	Facility		$83.18	$112.20	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $112.20	Professional		$46.77	$67.61	$112.20