Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.32 / $271.83 / $397.57	Facility		$139.32	$271.83	$397.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $139.32 / $215.95	Professional		$99.41	$139.32	$215.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.36 / $734.42 / $2,247.48	Facility		$229.36	$734.42	$2,247.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $117.23 / $130.82	Professional		$3.50	$117.23	$130.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.48 / $377.95 / $781.76	Facility		$200.48	$377.95	$781.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $203.88 / $286.64	Professional		$82.92	$203.88	$286.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $288.83 / $507.31	Professional		$178.40	$288.83	$507.31
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 $220.87 / $220.87 / $220.87	Professional		$220.87	$220.87	$220.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $231.06 / $254.85	Professional		$29.50	$231.06	$254.85
United Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $79.34 / $169.90	Professional		$70.97	$79.34	$169.90