Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $295.12 / $758.58	Facility		$134.90	$295.12	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $407.38	Professional		$95.50	$144.54	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $446.68 / $1,513.56	Facility		$125.89	$446.68	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $134.90 / $295.12	Professional		$44.67	$134.90	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $223.87 / $446.68	Facility		$95.50	$223.87	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $269.15	Professional		$109.65	$173.78	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $549.54	Professional		$134.90	$234.42	$549.54
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 $158.49 / $162.18 / $173.78	Professional		$158.49	$162.18	$173.78
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 $67.61 / $74.13 / $229.09	Facility		$67.61	$74.13	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $245.47	Professional		$120.23	$158.49	$245.47