Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.40 / $284.80 / $453.25	Facility		$142.40	$284.80	$453.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $149.35 / $298.70	Professional		$135.44	$149.35	$298.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.58 / $666.55 / $1,970.01	Facility		$279.58	$666.55	$1,970.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $119.83 / $133.72	Professional		$3.50	$119.83	$133.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.19 / $411.25 / $799.63	Facility		$220.19	$411.25	$799.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $211.45 / $339.93	Professional		$88.85	$211.45	$339.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.03 / $321.79 / $635.90	Professional		$191.03	$321.79	$635.90
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 $225.76 / $225.76 / $225.76	Professional		$225.76	$225.76	$225.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $127.63 / $260.49	Professional		$40.07	$127.63	$260.49
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $181.30 / $276.81	Professional		$104.20	$181.30	$276.81