Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.60 / $328.49 / $407.68	Facility		$145.60	$328.49	$407.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $145.60 / $310.73	Professional		$136.72	$145.60	$310.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.70 / $767.47 / $2,348.84	Facility		$239.70	$767.47	$2,348.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.20 / $424.71 / $817.50	Facility		$276.20	$424.71	$817.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $204.02 / $270.51	Professional		$90.83	$204.02	$270.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $266.33 / $815.57	Professional		$177.56	$266.33	$815.57
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 $230.83 / $230.83 / $230.83	Professional		$230.83	$230.83	$230.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $121.81 / $221.95	Professional		$88.78	$121.81	$221.95
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $106.54 / $177.56	Professional		$74.58	$106.54	$177.56