Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $202.95 / $384.99	Facility		$74.40	$202.95	$384.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $127.78 / $180.40	Professional		$112.75	$127.78	$180.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.43 / $631.99 / $2,191.14	Facility		$198.43	$631.99	$2,191.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $103.73 / $115.75	Professional		$3.50	$103.73	$115.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $367.59 / $692.42	Facility		$190.69	$367.59	$692.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $174.78 / $253.89	Professional		$69.89	$174.78	$253.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $245.52 / $630.61	Professional		$165.36	$245.52	$630.61
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 $195.43 / $195.43 / $195.43	Professional		$195.43	$195.43	$195.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.45 / $204.45 / $225.50	Professional		$204.45	$204.45	$225.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $150.33	Professional		$63.14	$90.20	$150.33