Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $305.81 / $516.24	Facility		$184.91	$305.81	$516.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $187.43 / $295.98	Professional		$164.20	$187.43	$295.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.67 / $573.86 / $2,488.08	Facility		$245.67	$573.86	$2,488.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $106.48 / $377.33	Professional		$29.88	$106.48	$377.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.84 / $451.78 / $1,185.67	Facility		$248.84	$451.78	$1,185.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.07 / $232.31 / $379.21	Professional		$130.07	$232.31	$379.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.09 / $242.31 / $460.27	Professional		$154.09	$242.31	$460.27
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 $200.32 / $205.89 / $223.70	Professional		$200.32	$205.89	$223.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $32.47 / $234.03	Professional		$31.50	$32.47	$234.03
United Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $222.31 / $406.07	Professional		$141.88	$222.31	$406.07