Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.27 / $246.54 / $351.77	Facility		$123.27	$246.54	$351.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.27 / $191.07	Professional		$100.00	$123.27	$191.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.94 / $649.77 / $1,988.58	Facility		$202.94	$649.77	$1,988.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $103.73 / $115.75	Professional		$3.50	$103.73	$115.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.31 / $334.49 / $692.42	Facility		$160.31	$334.49	$692.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $183.43 / $253.89	Professional		$73.29	$183.43	$253.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $240.53 / $354.32	Professional		$165.36	$240.53	$354.32
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 $195.43 / $195.43 / $195.43	Professional		$195.43	$195.43	$195.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $204.45 / $225.50	Professional		$37.74	$204.45	$225.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $150.33	Professional		$63.14	$90.20	$150.33