Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $209.66 / $346.86	Facility		$103.54	$209.66	$346.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $110.01	Professional		$103.54	$103.54	$110.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.20 / $389.69 / $1,667.08	Facility		$227.20	$389.69	$1,667.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $142.00 / $142.00	Professional		$119.28	$142.00	$142.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.97 / $301.97 / $301.97	Facility		$301.97	$301.97	$301.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $184.43 / $345.40	Professional		$120.00	$184.43	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $129.41 / $129.41 / $137.31	Professional		$129.41	$129.41	$137.31