Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.22 / $285.00 / $487.56	Facility		$158.22	$285.00	$487.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $158.22 / $270.45	Professional		$138.84	$158.22	$270.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.64 / $565.48 / $2,224.14	Facility		$261.64	$565.48	$2,224.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $65.70 / $304.64	Professional		$26.60	$65.70	$304.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.39 / $425.42 / $1,142.09	Facility		$200.39	$425.42	$1,142.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $218.34 / $363.50	Professional		$124.74	$218.34	$363.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $228.89 / $596.94	Professional		$150.00	$228.89	$596.94
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 $189.23 / $194.82 / $211.28	Professional		$189.23	$194.82	$211.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $32.34 / $221.03	Professional		$28.24	$32.34	$221.03
United Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $202.19 / $350.37	Professional		$140.75	$202.19	$350.37