Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.31 / $338.45 / $488.87	Facility		$171.31	$338.45	$488.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.87 / $176.45 / $265.52	Professional		$160.87	$176.45	$265.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.22 / $955.60 / $2,763.74	Facility		$286.22	$955.60	$2,763.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $144.15 / $160.87	Professional		$3.50	$144.15	$160.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.06 / $510.86 / $961.94	Facility		$265.06	$510.86	$961.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $258.38 / $380.50	Professional		$108.63	$258.38	$380.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.10 / $355.16 / $824.26	Professional		$213.10	$355.16	$824.26
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 $271.60 / $271.60 / $271.60	Professional		$271.60	$271.60	$271.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $284.13 / $313.38	Professional		$22.99	$284.13	$313.38
United Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $219.37 / $516.03	Facility		$208.92	$219.37	$516.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $135.80 / $243.97	Professional		$87.75	$135.80	$243.97