Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.02 / $278.60 / $432.58	Facility		$163.02	$278.60	$432.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.26 / $187.19 / $375.37	Professional		$141.26	$187.19	$375.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.05 / $470.01 / $2,987.94	Facility		$166.05	$470.01	$2,987.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $254.95 / $326.98	Professional		$253.36	$254.95	$326.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $85.00 / $150.00	Facility		$60.00	$85.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.10 / $284.56 / $409.20	Professional		$196.10	$284.56	$409.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $206.90 / $308.86 / $454.21	Professional		$206.90	$308.86	$454.21
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.18 / $282.39 / $298.86	Professional		$281.18	$282.39	$298.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $321.85	Professional		$32.34	$32.34	$321.85
United Facility/Professional Professional Modifier Low / Median / High Price $174.60 / $230.74 / $384.24	Professional		$174.60	$230.74	$384.24