Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.91 / $349.82 / $499.12	Facility		$174.91	$349.82	$499.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $174.91 / $271.11	Professional		$159.97	$174.91	$271.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.95 / $922.02 / $2,821.64	Facility		$287.95	$922.02	$2,821.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $147.18 / $164.24	Professional		$3.50	$147.18	$164.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.56 / $474.25 / $981.30	Facility		$235.56	$474.25	$981.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $255.96 / $359.81	Professional		$104.03	$255.96	$359.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $217.57 / $298.62 / $440.70	Professional		$217.57	$298.62	$440.70
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 $277.29 / $277.29 / $277.29	Professional		$277.29	$277.29	$277.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $290.08 / $319.95	Professional		$22.99	$290.08	$319.95
United Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $117.32 / $213.30	Professional		$83.44	$117.32	$213.30