Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $236.50 / $264.88	Facility		$132.44	$236.50	$264.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $100.53 / $224.95	Professional		$61.14	$100.53	$224.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.04 / $527.64 / $1,526.09	Facility		$158.04	$527.64	$1,526.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $79.59 / $88.83	Professional		$3.50	$79.59	$88.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.14 / $284.86 / $531.60	Facility		$127.14	$284.86	$531.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $140.41 / $216.18	Professional		$52.49	$140.41	$216.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $184.58 / $398.09	Professional		$115.36	$184.58	$398.09
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 $149.97 / $149.97 / $149.97	Professional		$149.97	$149.97	$149.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $115.36 / $173.04	Professional		$57.68	$115.36	$173.04
United Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $115.36 / $138.43	Facility		$79.16	$115.36	$138.43
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $78.33 / $138.43	Professional		$48.45	$78.33	$138.43