Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $306.95 / $526.20	Facility		$143.83	$306.95	$526.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.79 / $143.83 / $222.94	Professional		$126.79	$143.83	$222.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.79 / $742.83 / $2,320.33	Facility		$236.79	$742.83	$2,320.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $121.03 / $135.06	Professional		$3.50	$121.03	$135.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.68 / $390.00 / $807.08	Facility		$222.68	$390.00	$807.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $213.64 / $295.93	Professional		$85.82	$213.64	$295.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.17 / $298.18 / $473.84	Professional		$184.17	$298.18	$473.84
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 $228.02 / $228.02 / $228.02	Professional		$228.02	$228.02	$228.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $238.54 / $263.10	Professional		$22.99	$238.54	$263.10
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $179.25	Professional		$73.67	$105.24	$179.25