Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.69 / $155.38 / $260.26	Facility		$77.69	$155.38	$260.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $85.27 / $196.38	Professional		$75.79	$85.27	$196.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.79 / $489.97 / $1,253.28	Facility		$129.79	$489.97	$1,253.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $65.37 / $72.95	Professional		$3.50	$65.37	$72.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $226.73 / $436.30	Facility		$120.06	$226.73	$436.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $115.57 / $172.58	Professional		$49.21	$115.57	$172.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $165.80 / $422.42	Professional		$104.21	$165.80	$422.42
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 $123.16 / $123.16 / $123.16	Professional		$123.16	$123.16	$123.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $128.85 / $142.11	Professional		$22.99	$128.85	$142.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $64.42 / $107.21	Professional		$39.79	$64.42	$107.21