Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.80 / $158.91 / $370.80	Facility		$134.80	$158.91	$370.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $158.91 / $251.05	Professional		$140.88	$158.91	$251.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.49 / $1,617.71 / $3,590.07	Facility		$760.49	$1,617.71	$3,590.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $143.49 / $253.86	Professional		$50.75	$143.49	$253.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $201.47 / $400.70	Professional		$123.60	$201.47	$400.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $197.76 / $1,301.08	Professional		$135.96	$197.76	$1,301.08
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 $146.03 / $149.12 / $160.68	Professional		$146.03	$149.12	$160.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.16 / $168.10	Professional		$32.34	$55.16	$168.10
United Facility/Professional Professional Modifier Low / Median / High Price $191.24 / $262.39 / $398.62	Professional		$191.24	$262.39	$398.62