Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $219.06 / $331.20	Facility		$112.34	$219.06	$331.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $115.71 / $326.58	Professional		$45.00	$115.71	$326.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.95 / $580.19 / $1,812.31	Facility		$184.95	$580.19	$1,812.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $94.53 / $105.49	Professional		$3.50	$94.53	$105.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.82 / $304.61 / $631.37	Facility		$136.82	$304.61	$631.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $167.23 / $231.50	Professional		$66.88	$167.23	$231.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $239.75 / $527.00	Professional		$150.69	$239.75	$527.00
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 $178.10 / $178.10 / $178.10	Professional		$178.10	$178.10	$178.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $186.32 / $205.50	Professional		$22.99	$186.32	$205.50
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $137.00	Professional		$57.54	$82.20	$137.00