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 $110.24 / $129.80 / $288.14	Professional		$110.24	$129.80	$288.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.54 / $1,021.24 / $1,986.76	Facility		$662.54	$1,021.24	$1,986.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.24 / $254.91 / $695.54	Facility		$137.24	$254.91	$695.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $199.53 / $632.00	Professional		$114.42	$199.53	$632.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $235.18 / $822.08	Professional		$146.99	$235.18	$822.08
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 Professional Modifier Low / Median / High Price $142.02 / $233.55 / $524.16	Professional		$142.02	$233.55	$524.16