Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $303.05 / $475.70	Facility		$142.00	$303.05	$475.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $147.19 / $303.05	Professional		$133.34	$147.19	$303.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.43 / $492.88 / $2,051.19	Facility		$242.43	$492.88	$2,051.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $119.49 / $133.34	Professional		$3.50	$119.49	$133.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.77 / $423.01 / $796.65	Facility		$219.77	$423.01	$796.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $214.18 / $353.89	Professional		$88.52	$214.18	$353.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $277.07 / $415.40	Professional		$190.49	$277.07	$415.40
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 $225.12 / $225.12 / $225.12	Professional		$225.12	$225.12	$225.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $127.28 / $259.76	Professional		$46.32	$127.28	$259.76
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $183.73 / $294.39	Professional		$103.90	$183.73	$294.39