Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.63 / $238.99 / $301.23	Facility		$123.63	$238.99	$301.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $129.80 / $238.99	Professional		$110.64	$129.80	$238.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.03 / $1,040.08 / $3,957.80	Facility		$595.03	$1,040.08	$3,957.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $150.21 / $287.95	Professional		$67.95	$150.21	$287.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.63 / $254.91 / $777.37	Facility		$143.63	$254.91	$777.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $200.82 / $633.39	Professional		$117.16	$200.82	$633.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $235.18 / $851.21	Professional		$146.99	$235.18	$851.21
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 $152.87 / $154.75 / $167.35	Professional		$152.87	$154.75	$167.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.09 / $175.07	Professional		$32.34	$72.09	$175.07
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 $138.01 / $211.73 / $489.57	Professional		$138.01	$211.73	$489.57