Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $259.13 / $404.43	Facility		$139.41	$259.13	$404.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $207.35 / $390.22	Professional		$125.89	$207.35	$390.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.06 / $682.38 / $2,545.61	Facility		$346.06	$682.38	$2,545.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.33 / $277.33 / $309.61	Facility		$277.33	$277.33	$309.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $244.21 / $419.77	Professional		$148.07	$244.21	$419.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $337.03 / $1,457.45	Professional		$183.26	$337.03	$1,457.45
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.44 / $176.31 / $320.13	Professional		$163.44	$176.31	$320.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $361.99	Professional		$32.34	$32.34	$361.99
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $252.27 / $459.12	Professional		$179.58	$252.27	$459.12