Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.55 / $276.19 / $363.15	Facility		$146.55	$276.19	$363.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $152.07 / $276.19	Professional		$130.38	$152.07	$276.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $667.80 / $1,181.94 / $3,957.80	Facility		$667.80	$1,181.94	$3,957.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $180.17 / $345.39	Professional		$67.95	$180.17	$345.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.09 / $331.46 / $1,025.72	Facility		$183.09	$331.46	$1,025.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $235.80 / $632.00	Professional		$138.78	$235.80	$632.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.79 / $282.08 / $885.09	Professional		$174.79	$282.08	$885.09
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 $183.35 / $186.28 / $201.75	Professional		$183.35	$186.28	$201.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.83 / $211.06	Professional		$32.34	$73.83	$211.06
United Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $250.02 / $507.75	Professional		$164.75	$250.02	$507.75