Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.97 / $325.73 / $686.00	Facility		$157.97	$325.73	$686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $180.16 / $316.45	Professional		$157.97	$180.16	$316.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.60 / $726.04 / $2,532.28	Facility		$392.60	$726.04	$2,532.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $78.84 / $372.49	Professional		$31.92	$78.84	$372.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.24 / $507.91 / $1,492.21	Facility		$282.24	$507.91	$1,492.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $248.37 / $413.03	Professional		$165.08	$248.37	$413.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $182.13 / $263.70 / $813.17	Professional		$182.13	$263.70	$813.17
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 $214.27 / $220.45 / $239.17	Professional		$214.27	$220.45	$239.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $34.69 / $250.21	Professional		$32.34	$34.69	$250.21
United Facility/Professional Facility Modifier Low / Median / High Price $605.40 / $605.40 / $728.83	Facility		$605.40	$605.40	$728.83
United Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $244.12 / $413.30	Professional		$175.16	$244.12	$413.30