Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.99 / $338.45 / $485.11	Facility		$169.99	$338.45	$485.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $175.09 / $263.48	Professional		$159.63	$175.09	$263.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.01 / $948.25 / $2,742.44	Facility		$284.01	$948.25	$2,742.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $143.04 / $159.63	Professional		$3.50	$143.04	$159.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.98 / $506.60 / $954.49	Facility		$262.98	$506.60	$954.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $256.43 / $377.56	Professional		$107.78	$256.43	$377.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.46 / $341.34 / $533.92	Professional		$211.46	$341.34	$533.92
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 $269.50 / $269.50 / $269.50	Professional		$269.50	$269.50	$269.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $281.94 / $310.97	Professional		$22.99	$281.94	$310.97
United Facility/Professional Facility Modifier Low / Median / High Price $119.44 / $414.62 / $414.62	Facility		$119.44	$414.62	$414.62
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $132.06 / $242.10	Professional		$87.07	$132.06	$242.10