Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.41 / $308.56 / $454.93	Facility		$142.41	$308.56	$454.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $135.80 / $308.56	Professional		$127.52	$135.80	$308.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.85 / $433.59 / $1,600.13	Facility		$231.85	$433.59	$1,600.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $114.27 / $127.52	Professional		$3.50	$114.27	$127.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.41 / $396.15 / $762.40	Facility		$142.41	$396.15	$762.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $201.96 / $252.45	Professional		$86.29	$201.96	$252.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $237.18 / $354.11	Professional		$165.61	$237.18	$354.11
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 $215.29 / $215.29 / $215.29	Professional		$215.29	$215.29	$215.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $91.09 / $207.01	Professional		$60.85	$91.09	$207.01
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $99.37 / $165.61	Professional		$69.56	$99.37	$165.61