Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.35 / $346.48 / $471.21	Facility		$162.35	$346.48	$471.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $162.35 / $251.64	Professional		$148.49	$162.35	$251.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.24 / $905.61 / $2,619.09	Facility		$271.24	$905.61	$2,619.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $136.61 / $152.44	Professional		$3.50	$136.61	$152.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.35 / $483.55 / $911.31	Facility		$251.35	$483.55	$911.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $245.06 / $360.47	Professional		$103.01	$245.06	$360.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $201.95 / $345.40 / $965.30	Professional		$201.95	$345.40	$965.30
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 $257.39 / $257.39 / $257.39	Professional		$257.39	$257.39	$257.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $269.27 / $296.99	Professional		$29.50	$269.27	$296.99
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $128.69 / $231.21	Professional		$83.16	$128.69	$231.21