Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.89 / $195.39 / $292.86	Facility		$104.89	$195.39	$292.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $149.44 / $274.17	Professional		$94.56	$149.44	$274.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.92 / $508.48 / $1,687.08	Facility		$301.92	$508.48	$1,687.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $197.17 / $331.12	Professional		$126.01	$197.17	$331.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.22 / $210.22 / $234.69	Facility		$210.22	$210.22	$234.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $180.71 / $304.44	Professional		$111.21	$180.71	$304.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $244.50 / $632.70	Professional		$137.19	$244.50	$632.70
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 $121.32 / $131.43 / $228.84	Professional		$121.32	$131.43	$228.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $258.76	Professional		$32.34	$32.34	$258.76
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 $146.47 / $197.77 / $345.16	Professional		$146.47	$197.77	$345.16