Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.40 / $292.37 / $813.67	Facility		$129.40	$292.37	$813.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $129.25 / $263.01	Professional		$115.72	$129.25	$263.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.40 / $429.44 / $1,780.05	Facility		$210.40	$429.44	$1,780.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $103.70 / $115.72	Professional		$3.50	$103.70	$115.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $367.59 / $692.42	Facility		$190.69	$367.59	$692.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $185.91 / $307.17	Professional		$76.94	$185.91	$307.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.32 / $290.74 / $637.27	Professional		$165.32	$290.74	$637.27
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 $195.38 / $195.38 / $195.38	Professional		$195.38	$195.38	$195.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $198.18 / $225.44	Professional		$78.89	$198.18	$225.44
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $166.99 / $255.49	Professional		$90.17	$166.99	$255.49