Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $299.48 / $390.02	Facility		$139.22	$299.48	$390.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $132.74 / $283.29	Professional		$124.65	$132.74	$283.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.24 / $263.86 / $1,553.04	Facility		$135.24	$263.86	$1,553.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $111.70 / $124.65	Professional		$3.50	$111.70	$124.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.12 / $387.21 / $744.54	Facility		$113.12	$387.21	$744.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $178.07 / $236.03	Professional		$48.99	$178.07	$236.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $178.07 / $263.68	Professional		$115.09	$178.07	$263.68
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 $210.44 / $210.44 / $210.44	Professional		$210.44	$210.44	$210.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $89.03 / $202.35	Professional		$59.49	$89.03	$202.35
United Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $67.98 / $161.88	Professional		$44.18	$67.98	$161.88