Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.79 / $295.17 / $395.13	Facility		$136.79	$295.17	$395.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.51 / $136.79 / $226.54	Professional		$120.51	$136.79	$226.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.32 / $565.48 / $2,252.63	Facility		$270.32	$565.48	$2,252.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $64.59 / $246.89	Professional		$26.15	$64.59	$246.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.61 / $378.39 / $1,041.69	Facility		$251.61	$378.39	$1,041.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.37 / $184.40 / $375.24	Professional		$120.37	$184.40	$375.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $191.97 / $800.24	Professional		$131.71	$191.97	$800.24
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 $154.05 / $158.19 / $171.22	Professional		$154.05	$158.19	$171.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $32.34 / $179.13	Professional		$28.35	$32.34	$179.13
United Facility/Professional Facility Modifier Low / Median / High Price $466.42 / $466.42 / $565.58	Facility		$466.42	$466.42	$565.58
United Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $230.71 / $369.77	Professional		$138.43	$230.71	$369.77