Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $331.94 / $473.62	Facility		$165.97	$331.94	$473.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $165.97 / $257.25	Professional		$151.80	$165.97	$257.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.24 / $857.17 / $2,677.50	Facility		$273.24	$857.17	$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 $256.75 / $450.18 / $932.16	Facility		$256.75	$450.18	$932.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $246.47 / $341.79	Professional		$98.79	$246.47	$341.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $206.45 / $345.40 / $683.46	Professional		$206.45	$345.40	$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 $22.99 / $275.26 / $303.60	Professional		$22.99	$275.26	$303.60
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $115.03 / $202.40	Professional		$85.01	$115.03	$202.40