Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.34 / $311.95 / $524.42	Facility		$143.34	$311.95	$524.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $143.34 / $222.18	Professional		$134.60	$143.34	$222.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.99 / $755.63 / $2,312.42	Facility		$235.99	$755.63	$2,312.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $120.62 / $134.60	Professional		$3.50	$120.62	$134.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.85 / $388.39 / $804.10	Facility		$221.85	$388.39	$804.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $212.76 / $294.83	Professional		$89.34	$212.76	$294.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $297.18 / $546.05	Professional		$183.55	$297.18	$546.05
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 $227.25 / $227.25 / $227.25	Professional		$227.25	$227.25	$227.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $237.74 / $262.22	Professional		$44.25	$237.74	$262.22
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $175.08	Professional		$73.42	$104.89	$175.08