Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.49 / $178.98 / $255.36	Facility		$89.49	$178.98	$255.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $92.17 / $138.71	Professional		$84.03	$92.17	$138.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.50 / $582.34 / $1,443.63	Facility		$149.50	$582.34	$1,443.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $75.30 / $84.03	Professional		$3.50	$75.30	$84.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.34 / $266.93 / $501.82	Facility		$138.34	$266.93	$501.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $134.88 / $198.50	Professional		$56.70	$134.88	$198.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $190.98 / $375.19	Professional		$120.04	$190.98	$375.19
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 $141.87 / $141.87 / $141.87	Professional		$141.87	$141.87	$141.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $148.41 / $163.69	Professional		$22.99	$148.41	$163.69
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $71.45 / $127.44	Professional		$45.83	$71.45	$127.44