Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $309.03 / $512.86	Facility		$186.21	$309.03	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $309.03	Professional		$151.36	$186.21	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $575.44 / $2,344.23	Facility		$251.19	$575.44	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $107.15 / $380.19	Professional		$30.20	$107.15	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $371.54 / $1,148.15	Facility		$144.54	$371.54	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $338.84	Professional		$120.23	$223.87	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $501.19	Professional		$151.36	$251.19	$501.19
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 $199.53 / $204.17 / $223.87	Professional		$199.53	$204.17	$223.87
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 $186.21 / $338.84 / $1,071.52	Facility		$186.21	$338.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $371.54	Professional		$141.25	$213.80	$371.54