Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.26 / $330.58 / $543.78	Facility		$178.26	$330.58	$543.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $178.26 / $330.58	Professional		$157.25	$178.26	$330.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.61 / $779.11 / $2,542.15	Facility		$478.61	$779.11	$2,542.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $108.29 / $399.65	Professional		$33.50	$108.29	$399.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.75 / $433.12 / $1,235.97	Facility		$350.75	$433.12	$1,235.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.71 / $262.61 / $469.59	Professional		$176.71	$262.61	$469.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.26 / $271.89 / $1,070.06	Professional		$181.26	$271.89	$1,070.06
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 $212.16 / $218.86 / $235.64	Professional		$212.16	$218.86	$235.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.40 / $246.51	Professional		$32.34	$36.40	$246.51
United Facility/Professional Professional Modifier Low / Median / High Price $202.03 / $285.64 / $405.46	Professional		$202.03	$285.64	$405.46