Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.34 / $279.70 / $456.25	Facility		$143.34	$279.70	$456.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $143.34 / $157.33	Professional		$131.11	$143.34	$157.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $244.73 / $309.41	Facility		$204.52	$244.73	$309.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.39 / $418.16 / $804.10	Facility		$196.39	$418.16	$804.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $212.76 / $254.91	Professional		$209.77	$212.76	$254.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.31 / $244.73 / $367.10	Professional		$178.31	$244.73	$367.10
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 $237.74 / $237.74 / $262.22	Professional		$237.74	$237.74	$262.22
United Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Facility		$174.81	$174.81	$174.81
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $175.08	Professional		$73.42	$104.89	$175.08