Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.40 / $149.33 / $264.30	Facility		$112.40	$149.33	$264.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $112.40 / $157.00	Professional		$88.07	$112.40	$157.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.90 / $440.94 / $1,580.54	Facility		$185.90	$440.94	$1,580.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $72.08 / $229.48	Professional		$22.92	$72.08	$229.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.36 / $279.10 / $678.54	Facility		$128.36	$279.10	$678.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $136.50 / $211.21	Professional		$88.03	$136.50	$211.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.25 / $180.72 / $468.29	Professional		$124.25	$180.72	$468.29
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 $132.00 / $136.32 / $146.84	Professional		$132.00	$136.32	$146.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $32.34 / $153.61	Professional		$24.92	$32.34	$153.61
United Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $132.79 / $220.31	Professional		$98.87	$132.79	$220.31