Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.43 / $279.99 / $459.87	Facility		$150.43	$279.99	$459.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $150.43 / $263.66	Professional		$132.00	$150.43	$263.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.38 / $741.41 / $3,413.78	Facility		$245.38	$741.41	$3,413.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $49.45 / $287.33	Professional		$20.02	$49.45	$287.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.43 / $425.14 / $1,142.09	Facility		$313.43	$425.14	$1,142.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $212.07 / $373.06	Professional		$123.74	$212.07	$373.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $219.68 / $898.19	Professional		$148.71	$219.68	$898.19
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 $178.49 / $184.12 / $199.28	Professional		$178.49	$184.12	$199.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $32.34 / $208.47	Professional		$21.63	$32.34	$208.47
United Facility/Professional Facility Modifier Low / Median / High Price $335.10 / $335.10 / $337.59	Facility		$335.10	$335.10	$337.59
United Facility/Professional Professional Modifier Low / Median / High Price $153.25 / $214.34 / $343.36	Professional		$153.25	$214.34	$343.36