Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.87 / $336.17 / $573.17	Facility		$185.87	$336.17	$573.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $185.87 / $328.62	Professional		$164.19	$185.87	$328.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.31 / $707.50 / $2,348.41	Facility		$444.31	$707.50	$2,348.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.64 / $429.61 / $1,185.67	Facility		$212.64	$429.61	$1,185.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.37 / $267.48 / $427.35	Professional		$164.37	$267.48	$427.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.06 / $277.04 / $702.28	Professional		$191.06	$277.04	$702.28
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 $223.89 / $229.31 / $248.38	Professional		$223.89	$229.31	$248.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.28 / $259.83	Professional		$32.34	$58.28	$259.83
United Facility/Professional Professional Modifier Low / Median / High Price $188.35 / $252.76 / $425.35	Professional		$188.35	$252.76	$425.35