Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $269.15 / $457.09	Facility		$144.54	$269.15	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $346.74	Professional		$120.23	$151.36	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $4,570.88	Facility		$660.69	$1,202.26	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $338.84	Professional		$91.20	$177.83	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $263.03 / $794.33	Facility		$75.86	$263.03	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $616.60	Professional		$131.83	$229.09	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $676.08 / $1,348.96	Professional		$173.78	$676.08	$1,348.96
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 $173.78 / $177.83 / $199.53	Professional		$173.78	$177.83	$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 $100.00 / $2,630.27 / $8,317.64	Facility		$100.00	$2,630.27	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $588.84	Professional		$151.36	$245.47	$588.84