Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.72 / $159.44 / $227.50	Facility		$79.72	$159.44	$227.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $82.11 / $123.57	Professional		$74.86	$82.11	$123.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.24 / $420.21 / $1,286.08	Facility		$131.24	$420.21	$1,286.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $67.08 / $74.86	Professional		$3.50	$67.08	$74.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.69 / $215.86 / $448.21	Facility		$108.69	$215.86	$448.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $118.64 / $164.34	Professional		$49.80	$118.64	$164.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $170.14 / $836.71	Professional		$106.94	$170.14	$836.71
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 $126.39 / $126.39 / $126.39	Professional		$126.39	$126.39	$126.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $132.22 / $145.83	Professional		$22.99	$132.22	$145.83
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $58.33 / $97.22	Professional		$40.83	$58.33	$97.22