Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $296.32 / $483.37	Facility		$151.86	$296.32	$483.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $151.86 / $235.38	Professional		$142.60	$151.86	$235.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.46 / $764.33 / $2,699.41	Facility		$244.46	$764.33	$2,699.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $127.79 / $142.60	Professional		$3.50	$127.79	$142.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $452.87 / $853.24	Facility		$255.09	$452.87	$853.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $205.70 / $312.85	Professional		$83.35	$205.70	$312.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $296.32 / $438.23	Professional		$200.00	$296.32	$438.23
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 $240.76 / $240.76 / $240.76	Professional		$240.76	$240.76	$240.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $277.80	Professional		$251.87	$251.87	$277.80
United Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $370.40 / $370.40	Facility		$77.78	$370.40	$370.40
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $185.20	Professional		$77.78	$111.12	$185.20