Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $239.86 / $282.20	Facility		$68.90	$239.86	$282.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.45 / $239.86 / $263.83	Professional		$228.45	$239.86	$263.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $542.50 / $1,993.30	Facility		$193.60	$542.50	$1,993.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Facility		$263.38	$263.38	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Professional		$263.38	$263.38	$263.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $23.30 / $319.80	Professional		$14.94	$23.30	$319.80
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $281.95 / $282.19	Professional		$235.16	$281.95	$282.19