Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.06 / $251.00 / $344.75	Facility		$108.06	$251.00	$344.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $102.91 / $159.51	Professional		$66.51	$102.91	$159.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.28 / $403.42 / $1,319.13	Facility		$182.28	$403.42	$1,319.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $96.64 / $96.64	Professional		$3.50	$96.64	$96.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.87 / $300.20 / $577.76	Facility		$129.87	$300.20	$577.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $152.81 / $191.01	Professional		$74.81	$152.81	$191.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $200.80 / $470.40	Professional		$125.50	$200.80	$470.40
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 $163.15 / $163.15 / $163.15	Professional		$163.15	$163.15	$163.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $86.09 / $156.88	Professional		$62.75	$86.09	$156.88
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $75.30 / $129.27	Professional		$52.71	$75.30	$129.27