Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.85 / $182.50 / $280.89	Facility		$83.85	$182.50	$280.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $83.85 / $145.60	Professional		$51.13	$83.85	$145.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.05 / $442.02 / $1,352.75	Facility		$138.05	$442.02	$1,352.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $70.56 / $78.73	Professional		$3.50	$70.56	$78.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $244.61 / $470.55	Facility		$140.85	$244.61	$470.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $141.16 / $186.13	Professional		$52.28	$141.16	$186.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.49 / $178.96 / $500.26	Professional		$112.49	$178.96	$500.26
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 $132.94 / $132.94 / $132.94	Professional		$132.94	$132.94	$132.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $139.07 / $153.38	Professional		$44.25	$139.07	$153.38
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $61.36 / $102.26	Professional		$42.95	$61.36	$102.26