Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.80 / $238.99 / $508.86	Facility		$152.80	$238.99	$508.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.53 / $162.66 / $246.18	Professional		$134.53	$162.66	$246.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $604.45 / $1,111.75 / $3,957.80	Facility		$604.45	$1,111.75	$3,957.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $194.01 / $301.10	Professional		$81.84	$194.01	$301.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.75 / $336.08 / $907.01	Facility		$155.75	$336.08	$907.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $254.43 / $633.12	Professional		$130.96	$254.43	$633.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $303.74 / $846.98	Professional		$187.43	$303.74	$846.98
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 $194.00 / $197.43 / $220.51	Professional		$194.00	$197.43	$220.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $88.94 / $230.68	Professional		$32.34	$88.94	$230.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.81 / $1,749.81 / $3,574.76	Facility		$1,749.81	$1,749.81	$3,574.76
United Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $257.64 / $533.16	Professional		$177.25	$257.64	$533.16