Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.88 / $250.98 / $577.20	Facility		$124.88	$250.98	$577.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $128.08 / $172.33	Professional		$97.88	$128.08	$172.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.03 / $499.55 / $1,476.29	Facility		$202.03	$499.55	$1,476.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $86.59 / $96.63	Professional		$3.50	$86.59	$96.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.12 / $307.02 / $577.76	Facility		$159.12	$307.02	$577.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $154.05 / $254.54	Professional		$64.20	$154.05	$254.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $241.15 / $771.76	Professional		$138.04	$241.15	$771.76
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 $163.13 / $163.13 / $163.13	Professional		$163.13	$163.13	$163.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $170.67 / $188.24	Professional		$65.87	$170.67	$188.24
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $133.13 / $223.50	Professional		$75.29	$133.13	$223.50