Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.68 / $296.73 / $405.55	Facility		$160.68	$296.73	$405.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $170.06 / $340.18	Professional		$143.55	$170.06	$340.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $739.47 / $1,292.57 / $3,957.80	Facility		$739.47	$1,292.57	$3,957.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.86 / $352.29 / $1,124.70	Facility		$205.86	$352.29	$1,124.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $259.95 / $641.98	Professional		$151.91	$259.95	$641.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $195.83 / $315.50 / $984.61	Professional		$195.83	$315.50	$984.61
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 $205.08 / $208.72 / $225.30	Professional		$205.08	$208.72	$225.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $81.83 / $235.70	Professional		$32.34	$81.83	$235.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,718.64 / $7,382.30 / $12,071.95	Facility		$4,718.64	$7,382.30	$12,071.95
United Facility/Professional Professional Modifier Low / Median / High Price $178.05 / $280.26 / $549.51	Professional		$178.05	$280.26	$549.51