Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $315.39 / $471.62	Facility		$157.69	$315.39	$471.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.09 / $157.69 / $244.44	Professional		$148.09	$157.69	$244.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.63 / $814.49 / $2,544.17	Facility		$259.63	$814.49	$2,544.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $132.69 / $148.09	Professional		$3.50	$132.69	$148.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.87 / $427.71 / $886.00	Facility		$243.87	$427.71	$886.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $234.65 / $324.87	Professional		$93.90	$234.65	$324.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $201.94 / $319.86 / $498.50	Professional		$201.94	$319.86	$498.50
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 $250.02 / $250.02 / $250.02	Professional		$250.02	$250.02	$250.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $261.56 / $261.56 / $288.48	Professional		$261.56	$261.56	$288.48
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $115.39 / $192.32	Professional		$80.77	$115.39	$192.32