Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.34 / $286.68 / $409.06	Facility		$143.34	$286.68	$409.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $143.34 / $222.18	Professional		$104.89	$143.34	$222.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.99 / $755.63 / $2,312.42	Facility		$235.99	$755.63	$2,312.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $120.62 / $134.60	Professional		$3.50	$120.62	$134.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.78 / $427.27 / $804.10	Facility		$240.78	$427.27	$804.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $194.49 / $294.83	Professional		$78.81	$194.49	$294.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $250.98 / $369.85	Professional		$183.55	$250.98	$369.85
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 $227.25 / $227.25 / $227.25	Professional		$227.25	$227.25	$227.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.74 / $237.74 / $262.22	Professional		$237.74	$237.74	$262.22
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $175.08	Professional		$73.42	$104.89	$175.08