Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.72 / $271.44 / $387.29	Facility		$135.72	$271.44	$387.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $135.72 / $210.37	Professional		$124.13	$135.72	$210.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.43 / $700.92 / $2,189.41	Facility		$223.43	$700.92	$2,189.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $114.20 / $127.44	Professional		$3.50	$114.20	$127.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.80 / $368.01 / $762.40	Facility		$209.80	$368.01	$762.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $201.82 / $279.55	Professional		$80.72	$201.82	$279.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.79 / $262.99 / $393.38	Professional		$173.79	$262.99	$393.38
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 $215.16 / $215.16 / $215.16	Professional		$215.16	$215.16	$215.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $225.09 / $248.27	Professional		$22.99	$225.09	$248.27
United Facility/Professional Facility Modifier Low / Median / High Price $165.51 / $173.79 / $408.81	Facility		$165.51	$173.79	$408.81
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $99.31 / $165.92	Professional		$69.51	$99.31	$165.92