Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.99 / $339.98 / $485.11	Facility		$169.99	$339.98	$485.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $176.21 / $285.20	Professional		$161.69	$176.21	$285.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.01 / $1,106.29 / $2,742.44	Facility		$284.01	$1,106.29	$2,742.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.54 / $614.41 / $954.49	Facility		$285.54	$614.41	$954.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $286.35 / $396.65	Professional		$107.78	$286.35	$396.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.46 / $352.43 / $702.83	Professional		$211.46	$352.43	$702.83
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 Professional Modifier Low / Median / High Price $87.07 / $180.91 / $265.30	Professional		$87.07	$180.91	$265.30