Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.49 / $217.29 / $350.08	Facility		$137.49	$217.29	$350.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $109.99 / $114.01	Professional		$88.19	$109.99	$114.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.93 / $187.78 / $237.41	Facility		$156.93	$187.78	$237.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.79 / $320.82 / $617.96	Facility		$150.79	$320.82	$617.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $163.72 / $196.17	Professional		$160.96	$163.72	$196.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $187.78 / $301.79	Professional		$136.81	$187.78	$301.79
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 $182.42 / $182.42 / $201.20	Professional		$182.42	$182.42	$201.20
United Facility/Professional Facility Modifier Low / Median / High Price $56.33 / $268.26 / $268.26	Facility		$56.33	$268.26	$268.26
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.48 / $134.13	Professional		$56.33	$80.48	$134.13