Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $271.72 / $317.91	Facility		$135.86	$271.72	$317.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $116.84 / $186.57	Professional		$72.01	$116.84	$186.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.12 / $724.98 / $1,797.19	Facility		$186.12	$724.98	$1,797.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $99.38 / $104.61	Professional		$3.50	$99.38	$104.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $335.43 / $625.41	Facility		$141.94	$335.43	$625.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $157.68 / $207.01	Professional		$88.75	$157.68	$207.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $190.20 / $345.40	Professional		$135.86	$190.20	$345.40
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 $176.62 / $176.62 / $176.62	Professional		$176.62	$176.62	$176.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $74.72 / $169.83	Professional		$49.92	$74.72	$169.83
United Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $81.52 / $158.66	Professional		$46.70	$81.52	$158.66