Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $262.33 / $427.94	Facility		$134.44	$262.33	$427.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $134.44 / $147.56	Professional		$126.25	$134.44	$147.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.83 / $229.54 / $290.20	Facility		$191.83	$229.54	$290.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.82 / $407.61 / $754.96	Facility		$225.82	$407.61	$754.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.75 / $199.63 / $239.18	Professional		$196.75	$199.63	$239.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $229.54 / $345.40	Professional		$167.24	$229.54	$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 $222.99 / $222.99 / $245.94	Professional		$222.99	$222.99	$245.94
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $103.29 / $191.47	Professional		$68.86	$103.29	$191.47