Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $467.74	Facility		$144.54	$275.42	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $316.23	Professional		$125.89	$151.36	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,412.54 / $4,570.88	Facility		$676.08	$1,412.54	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $181.97 / $346.74	Professional		$67.61	$181.97	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $309.03 / $933.25	Facility		$97.72	$309.03	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $602.56	Professional		$138.04	$234.42	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $524.81 / $954.99	Professional		$177.83	$524.81	$954.99
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 $181.97 / $186.21 / $199.53	Professional		$181.97	$186.21	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $2,630.27 / $8,317.64	Facility		$104.71	$2,630.27	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $588.84	Professional		$158.49	$245.47	$588.84