Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $196.40 / $386.40	Facility		$78.56	$196.40	$386.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $99.39 / $198.22	Professional		$76.75	$99.39	$198.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $526.96 / $1,645.84	Facility		$129.33	$526.96	$1,645.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $73.77 / $95.80	Professional		$3.50	$73.77	$95.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.73 / $212.65 / $440.77	Facility		$121.73	$212.65	$440.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $110.96 / $173.99	Professional		$52.09	$110.96	$173.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $159.87 / $245.59	Professional		$105.38	$159.87	$245.59
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 $124.54 / $124.54 / $124.54	Professional		$124.54	$124.54	$124.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $140.83	Professional		$30.00	$30.00	$140.83
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $64.33 / $106.22	Professional		$40.24	$64.33	$106.22