Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $331.94 / $473.62	Facility		$165.97	$331.94	$473.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $165.97 / $257.25	Professional		$151.80	$165.97	$257.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.24 / $874.87 / $2,677.50	Facility		$273.24	$874.87	$2,677.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $139.66 / $263.12	Professional		$3.50	$139.66	$263.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.77 / $494.65 / $932.16	Facility		$278.77	$494.65	$932.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $224.91 / $341.79	Professional		$91.13	$224.91	$341.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.52 / $354.20 / $1,509.60	Professional		$212.52	$354.20	$1,509.60
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 $263.12 / $263.12 / $263.12	Professional		$263.12	$263.12	$263.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.26 / $275.26 / $303.60	Professional		$275.26	$275.26	$303.60
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $202.40	Professional		$85.01	$121.44	$202.40