Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.56 / $206.26 / $295.57	Facility		$105.56	$206.26	$295.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $110.71 / $163.62	Professional		$100.41	$110.71	$163.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.36 / $686.94 / $1,702.88	Facility		$176.36	$686.94	$1,702.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $88.82 / $99.12	Professional		$3.50	$88.82	$99.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.27 / $314.70 / $592.65	Facility		$163.27	$314.70	$592.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $156.72 / $246.28	Professional		$65.84	$156.72	$246.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $225.28 / $884.27	Professional		$141.60	$225.28	$884.27
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 $167.35 / $167.35 / $167.35	Professional		$167.35	$167.35	$167.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $175.07 / $193.10	Professional		$57.05	$175.07	$193.10
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $83.67 / $150.32	Professional		$54.07	$83.67	$150.32