Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.28 / $196.36 / $291.55	Facility		$91.28	$196.36	$291.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $87.03 / $196.36	Professional		$81.73	$87.03	$196.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $281.16 / $898.21	Facility		$111.15	$281.16	$898.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $73.23 / $81.73	Professional		$3.50	$73.23	$81.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $253.88 / $488.42	Facility		$74.17	$253.88	$488.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $121.84 / $161.59	Professional		$45.48	$121.84	$161.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $149.66 / $242.43	Professional		$108.26	$149.66	$242.43
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 $137.97 / $137.97 / $137.97	Professional		$137.97	$137.97	$137.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $58.38 / $78.01	Professional		$29.40	$58.38	$78.01
United Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $54.72 / $106.14	Professional		$43.03	$54.72	$106.14