Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.12 / $363.06 / $569.90	Facility		$170.12	$363.06	$569.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $175.22 / $263.69	Professional		$159.74	$175.22	$263.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.22 / $1,107.08 / $2,744.33	Facility		$284.22	$1,107.08	$2,744.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $143.15 / $159.74	Professional		$3.50	$143.15	$159.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $507.43 / $954.49	Facility		$263.39	$507.43	$954.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $256.76 / $377.56	Professional		$107.95	$256.76	$377.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.61 / $352.68 / $962.26	Professional		$211.61	$352.68	$962.26
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 $269.70 / $269.70 / $269.70	Professional		$269.70	$269.70	$269.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $282.14 / $311.19	Professional		$44.25	$282.14	$311.19
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $130.69 / $242.27	Professional		$87.13	$130.69	$242.27