Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.55 / $209.95 / $463.30	Facility		$95.55	$209.95	$463.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $175.00 / $291.99	Professional		$144.41	$175.00	$291.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.00 / $573.79 / $2,207.77	Facility		$256.00	$573.79	$2,207.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $180.13 / $180.13	Professional		$180.13	$180.13	$180.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Facility		$186.76	$186.76	$186.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $24.25 / $235.27	Professional		$14.82	$24.25	$235.27
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.29 / $133.29 / $167.38	Professional		$133.29	$133.29	$167.38
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $196.77 / $204.95	Professional		$166.75	$196.77	$204.95