Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $238.95 / $442.40	Facility		$141.44	$238.95	$442.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $142.63 / $199.68	Professional		$74.17	$142.63	$199.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $195.40	Facility		$142.63	$142.63	$195.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $135.50 / $142.63	Professional		$3.50	$135.50	$142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.07 / $341.17 / $656.68	Facility		$187.07	$341.17	$656.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $153.22 / $240.78	Professional		$69.44	$153.22	$240.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $216.18 / $458.25	Professional		$156.88	$216.18	$458.25
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 $185.42 / $185.42 / $185.42	Professional		$185.42	$185.42	$185.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $209.67	Professional		$30.00	$30.00	$209.67
United Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $94.26 / $153.16	Professional		$68.62	$94.26	$153.16