Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.79 / $296.82 / $803.72	Facility		$127.79	$296.82	$803.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $121.70 / $188.64	Professional		$78.65	$121.70	$188.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.19 / $474.76 / $1,559.92	Facility		$215.19	$474.76	$1,559.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $108.57 / $114.28	Professional		$3.50	$108.57	$114.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.01 / $355.01 / $683.48	Facility		$154.01	$355.01	$683.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $180.89 / $226.11	Professional		$96.29	$180.89	$226.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $237.46 / $573.70	Professional		$148.41	$237.46	$573.70
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 $192.93 / $192.93 / $192.93	Professional		$192.93	$192.93	$192.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $101.81 / $185.51	Professional		$74.20	$101.81	$185.51
United Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $155.83 / $366.57	Facility		$148.41	$155.83	$366.57
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $91.02 / $173.31	Professional		$62.33	$91.02	$173.31