Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $283.27 / $404.19	Facility		$141.63	$283.27	$404.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.55 / $141.63 / $219.54	Professional		$129.55	$141.63	$219.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.18 / $796.86 / $2,284.94	Facility		$233.18	$796.86	$2,284.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $119.18 / $133.00	Professional		$3.50	$119.18	$133.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.36 / $384.37 / $795.16	Facility		$219.36	$384.37	$795.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $210.57 / $294.83	Professional		$89.90	$210.57	$294.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.37 / $276.37 / $439.77	Professional		$181.37	$276.37	$439.77
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 $224.55 / $224.55 / $224.55	Professional		$224.55	$224.55	$224.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $234.91 / $259.10	Professional		$29.50	$234.91	$259.10
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $112.05 / $181.54	Professional		$72.55	$112.05	$181.54