Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $374.44 / $631.04	Facility		$165.97	$374.44	$631.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.08 / $165.97 / $257.25	Professional		$133.08	$165.97	$257.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.24 / $871.20 / $2,677.50	Facility		$273.24	$871.20	$2,677.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $139.66 / $155.85	Professional		$3.50	$139.66	$155.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.77 / $494.65 / $932.16	Facility		$278.77	$494.65	$932.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $224.91 / $341.79	Professional		$91.13	$224.91	$341.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.52 / $354.20 / $683.46	Professional		$212.52	$354.20	$683.46
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 $263.12 / $263.12 / $263.12	Professional		$263.12	$263.12	$263.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.26 / $275.26 / $303.60	Professional		$275.26	$275.26	$303.60
United Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $212.52 / $499.93	Facility		$202.40	$212.52	$499.93
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $202.40	Professional		$85.01	$121.44	$202.40