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 / $737.42 / $2,556.67	Facility		$231.52	$737.42	$2,556.67
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 $131.90 / $215.08 / $324.49	Professional		$131.90	$215.08	$324.49
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 Facility Modifier Low / Median / High Price $175.40 / $175.40 / $175.40	Facility		$175.40	$175.40	$175.40
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $179.25	Professional		$73.67	$105.24	$179.25