Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.88 / $173.92 / $238.89	Facility		$74.88	$173.92	$238.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $71.31 / $152.18	Professional		$46.09	$71.31	$152.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.48 / $279.92 / $914.00	Facility		$126.48	$279.92	$914.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $60.00 / $66.95	Professional		$3.50	$60.00	$66.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.27 / $214.20 / $400.56	Facility		$89.27	$214.20	$400.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $106.14 / $146.47	Professional		$55.81	$106.14	$146.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $150.00 / $253.65	Professional		$91.31	$150.00	$253.65
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 $113.05 / $113.05 / $113.05	Professional		$113.05	$113.05	$113.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $59.65 / $108.70	Professional		$31.96	$59.65	$108.70
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $52.18 / $89.57	Professional		$36.52	$52.18	$89.57