Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.87 / $333.74 / $476.19	Facility		$166.87	$333.74	$476.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $166.87 / $258.64	Professional		$156.69	$166.87	$258.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.72 / $879.66 / $2,692.10	Facility		$274.72	$879.66	$2,692.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $140.41 / $156.69	Professional		$3.50	$140.41	$156.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $452.55 / $936.63	Facility		$257.99	$452.55	$936.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.07 / $247.78 / $343.43	Professional		$104.07	$247.78	$343.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.57 / $314.24 / $453.15	Professional		$207.57	$314.24	$453.15
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 $264.55 / $264.55 / $264.55	Professional		$264.55	$264.55	$264.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $276.76 / $305.25	Professional		$22.99	$276.76	$305.25
United Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $203.50	Facility		$203.50	$203.50	$203.50
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $122.10 / $213.88	Professional		$85.47	$122.10	$213.88