Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.59 / $206.44 / $313.47	Facility		$109.59	$206.44	$313.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $107.63 / $161.96	Professional		$98.12	$107.63	$161.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.03 / $539.66 / $1,685.70	Facility		$172.03	$539.66	$1,685.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $87.93 / $98.12	Professional		$3.50	$87.93	$98.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.61 / $283.26 / $586.69	Facility		$161.61	$283.26	$586.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $155.41 / $220.09	Professional		$66.23	$155.41	$220.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.80 / $216.63 / $354.06	Professional		$133.80	$216.63	$354.06
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 $165.66 / $165.66 / $165.66	Professional		$165.66	$165.66	$165.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $173.30 / $191.15	Professional		$22.99	$173.30	$191.15
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $76.45 / $139.01	Professional		$53.52	$76.45	$139.01