Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.65 / $207.86 / $658.58	Facility		$111.65	$207.86	$658.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $99.74 / $154.60	Professional		$85.14	$99.74	$154.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.63 / $556.32 / $1,609.07	Facility		$166.63	$556.32	$1,609.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $83.92 / $93.66	Professional		$3.50	$83.92	$93.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.13 / $297.64 / $559.89	Facility		$154.13	$297.64	$559.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $147.97 / $221.47	Professional		$62.21	$147.97	$221.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $212.85 / $598.91	Professional		$133.79	$212.85	$598.91
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 $158.12 / $158.12 / $158.12	Professional		$158.12	$158.12	$158.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.42 / $165.42 / $182.45	Professional		$165.42	$165.42	$182.45
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $82.59 / $151.82	Professional		$51.08	$82.59	$151.82