Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $295.12 / $524.81	Facility		$158.49	$295.12	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $346.74	Professional		$138.04	$169.82	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,445.44 / $4,570.88	Facility		$741.31	$1,445.44	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $269.15 / $1,122.02	Facility		$109.65	$269.15	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $676.08	Professional		$151.36	$263.03	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $588.84 / $1,071.52	Professional		$199.53	$588.84	$1,071.52
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 $204.17 / $208.93 / $223.87	Professional		$204.17	$208.93	$223.87
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 $117.49 / $2,630.27 / $8,317.64	Facility		$117.49	$2,630.27	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $616.60	Professional		$169.82	$269.15	$616.60