Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $296.32 / $483.37	Facility		$151.86	$296.32	$483.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $151.86 / $175.94	Professional		$142.60	$151.86	$175.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.68 / $259.27 / $327.80	Facility		$216.68	$259.27	$327.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.14 / $452.87 / $853.24	Facility		$235.14	$452.87	$853.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $225.89 / $270.64	Professional		$222.24	$225.89	$270.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.90 / $259.27 / $388.92	Professional		$188.90	$259.27	$388.92
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 $251.87 / $251.87 / $277.80	Professional		$251.87	$251.87	$277.80
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $185.20	Professional		$77.78	$111.12	$185.20