Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.44 / $307.20 / $501.12	Facility		$157.44	$307.20	$501.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $157.44 / $244.03	Professional		$139.83	$157.44	$244.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.20 / $527.58 / $2,539.89	Facility		$259.20	$527.58	$2,539.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $132.47 / $147.84	Professional		$3.50	$132.47	$147.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.43 / $469.05 / $884.51	Facility		$251.43	$469.05	$884.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $120.95 / $324.32	Professional		$37.78	$120.95	$324.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $278.14 / $393.48	Professional		$192.00	$278.14	$393.48
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 $249.60 / $249.60 / $249.60	Professional		$249.60	$249.60	$249.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $261.12 / $261.12 / $288.00	Professional		$261.12	$261.12	$288.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $83.09 / $192.00	Professional		$46.02	$83.09	$192.00