Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.89 / $222.76 / $494.89	Facility		$106.89	$222.76	$494.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $112.10 / $165.68	Professional		$101.67	$112.10	$165.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.57 / $325.04 / $1,543.89	Facility		$178.57	$325.04	$1,543.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $89.94 / $100.37	Professional		$3.50	$89.94	$100.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.35 / $318.97 / $600.10	Facility		$165.35	$318.97	$600.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $158.91 / $249.37	Professional		$66.68	$158.91	$249.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $228.11 / $402.65	Professional		$143.38	$228.11	$402.65
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 $169.46 / $169.46 / $169.46	Professional		$169.46	$169.46	$169.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $177.28 / $195.53	Professional		$136.86	$177.28	$195.53
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $83.03 / $134.26	Professional		$54.75	$83.03	$134.26