Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $281.84 / $457.09	Facility		$151.36	$281.84	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $363.08	Professional		$131.83	$173.78	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $588.84 / $2,290.87	Facility		$269.15	$588.84	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $48.98 / $309.03	Professional		$19.95	$48.98	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $331.13 / $1,096.48	Facility		$131.83	$331.13	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $371.54	Professional		$128.82	$213.80	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $977.24	Professional		$147.91	$229.09	$977.24
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 $177.83 / $186.21 / $199.53	Professional		$177.83	$186.21	$199.53
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 $218.78 / $338.84 / $1,071.52	Facility		$218.78	$338.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $323.59	Professional		$151.36	$223.87	$323.59