Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.39 / $204.78 / $343.01	Facility		$102.39	$204.78	$343.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $102.39 / $158.69	Professional		$94.32	$102.39	$158.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.57 / $528.82 / $1,651.85	Facility		$168.57	$528.82	$1,651.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $86.16 / $96.15	Professional		$3.50	$86.16	$96.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.29 / $277.64 / $574.78	Facility		$158.29	$277.64	$574.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $140.07 / $210.75	Professional		$56.59	$140.07	$210.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $218.52 / $457.99	Professional		$137.36	$218.52	$457.99
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 $162.33 / $162.33 / $162.33	Professional		$162.33	$162.33	$162.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $187.31	Professional		$169.82	$169.82	$187.31
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $74.92 / $125.06	Professional		$52.45	$74.92	$125.06