Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $331.13 / $549.54	Facility		$177.83	$331.13	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $426.58	Professional		$158.49	$204.17	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $2,290.87	Facility		$489.78	$724.44	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $107.15 / $398.11	Professional		$40.74	$107.15	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $389.05 / $1,148.15	Facility		$151.36	$389.05	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $457.09	Professional		$173.78	$263.03	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $1,174.90	Professional		$177.83	$281.84	$1,174.90
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 $213.80 / $218.78 / $234.42	Professional		$213.80	$218.78	$234.42
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 $263.03 / $338.84 / $1,071.52	Facility		$263.03	$338.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $389.05	Professional		$199.53	$288.40	$389.05