Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.84 / $362.02 / $543.03	Facility		$189.84	$362.02	$543.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.97 / $189.84 / $280.57	Professional		$169.97	$189.84	$280.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.41 / $1,177.98 / $2,920.08	Facility		$302.41	$1,177.98	$2,920.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $152.31 / $169.97	Professional		$3.50	$152.31	$169.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.01 / $539.86 / $1,015.55	Facility		$280.01	$539.86	$1,015.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.76 / $273.01 / $401.71	Professional		$114.76	$273.01	$401.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $353.18 / $568.51	Professional		$225.15	$353.18	$568.51
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 $286.95 / $286.95 / $286.95	Professional		$286.95	$286.95	$286.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $300.20 / $331.11	Professional		$22.99	$300.20	$331.11
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $143.47 / $301.14	Professional		$92.71	$143.47	$301.14