Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $338.20 / $435.12	Facility		$162.97	$338.20	$435.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $155.40 / $240.87	Professional		$58.24	$155.40	$240.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.31 / $273.50 / $1,603.66	Facility		$104.31	$273.50	$1,603.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $130.76 / $145.91	Professional		$3.50	$130.76	$145.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.18 / $453.30 / $872.60	Facility		$123.18	$453.30	$872.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $208.46 / $276.42	Professional		$36.94	$208.46	$276.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $265.31 / $454.46	Professional		$118.14	$265.31	$454.46
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 $246.36 / $246.36 / $246.36	Professional		$246.36	$246.36	$246.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $104.23 / $236.89	Professional		$50.19	$104.23	$236.89
United Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $79.59 / $189.51	Professional		$40.18	$79.59	$189.51