Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $300.02 / $508.73	Facility		$151.86	$300.02	$508.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $175.94 / $370.40	Professional		$142.60	$175.94	$370.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.02 / $784.30 / $2,449.86	Facility		$250.02	$784.30	$2,449.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $127.79 / $142.60	Professional		$3.50	$127.79	$142.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.25 / $411.66 / $853.24	Facility		$178.25	$411.66	$853.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $225.89 / $312.85	Professional		$94.80	$225.89	$312.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $296.32 / $700.84	Professional		$195.66	$296.32	$700.84
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 $240.76 / $240.76 / $240.76	Professional		$240.76	$240.76	$240.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $251.87 / $277.80	Professional		$44.25	$251.87	$277.80
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $185.20	Professional		$77.78	$111.12	$185.20