Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $280.64 / $457.79	Facility		$143.83	$280.64	$457.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.06 / $143.83 / $222.94	Professional		$135.06	$143.83	$222.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.52 / $723.92 / $2,556.67	Facility		$231.52	$723.92	$2,556.67
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 $241.59 / $428.99 / $807.08	Facility		$241.59	$428.99	$807.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $194.89 / $295.93	Professional		$78.97	$194.89	$295.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $192.94 / $304.04 / $473.84	Professional		$192.94	$304.04	$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 $238.54 / $238.54 / $263.10	Professional		$238.54	$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