Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $338.84 / $575.44	Facility		$186.21	$338.84	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $338.84	Professional		$162.18	$194.98	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $676.08 / $2,137.96	Facility		$446.68	$676.08	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $346.74 / $1,148.15	Facility		$144.54	$346.74	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $407.38	Professional		$162.18	$269.15	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $758.58	Professional		$190.55	$288.40	$758.58
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 $223.87 / $229.09 / $251.19	Professional		$223.87	$229.09	$251.19
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 $213.80 / $338.84 / $1,071.52	Facility		$213.80	$338.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $389.05	Professional		$186.21	$257.04	$389.05