Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $295.12 / $398.11	Facility		$134.90	$295.12	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $309.03	Professional		$123.03	$162.18	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $575.44 / $1,862.09	Facility		$275.42	$575.44	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $64.57 / $269.15	Professional		$26.30	$64.57	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $338.84 / $891.25	Facility		$107.15	$338.84	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $338.84	Professional		$112.20	$186.21	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $870.96	Professional		$131.83	$199.53	$870.96
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 $154.88 / $158.49 / $169.82	Professional		$154.88	$158.49	$169.82
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 $181.97 / $338.84 / $1,071.52	Facility		$181.97	$338.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $338.84	Professional		$141.25	$208.93	$338.84