Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.38 / $276.76 / $394.88	Facility		$138.38	$276.76	$394.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $138.38 / $214.49	Professional		$126.56	$138.38	$214.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.81 / $729.43 / $2,232.36	Facility		$227.81	$729.43	$2,232.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $129.94 / $256.50	Professional		$4.50	$129.94	$256.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.95 / $375.30 / $777.30	Facility		$124.95	$375.30	$777.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $205.76 / $285.01	Professional		$82.41	$205.76	$285.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $185.63 / $295.31 / $588.34	Professional		$185.63	$295.31	$588.34
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 $219.38 / $219.38 / $219.38	Professional		$219.38	$219.38	$219.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $229.50 / $253.13	Professional		$22.99	$229.50	$253.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $101.25 / $168.75	Professional		$70.88	$101.25	$168.75