Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.30 / $354.98 / $505.98	Facility		$165.30	$354.98	$505.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $165.30 / $290.10	Professional		$146.13	$165.30	$290.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.93 / $704.22 / $2,647.32	Facility		$369.93	$704.22	$2,647.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $89.81 / $316.14	Professional		$36.36	$89.81	$316.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.07 / $429.61 / $1,142.09	Facility		$305.07	$429.61	$1,142.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.38 / $236.12 / $424.39	Professional		$167.38	$236.12	$424.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.66 / $246.50 / $955.48	Professional		$168.66	$246.50	$955.48
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 $197.81 / $203.67 / $219.26	Professional		$197.81	$203.67	$219.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.54 / $229.38	Professional		$32.34	$39.54	$229.38
United Facility/Professional Professional Modifier Low / Median / High Price $182.09 / $275.14 / $448.06	Professional		$182.09	$275.14	$448.06