Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.43 / $356.70 / $627.33	Facility		$193.43	$356.70	$627.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.97 / $193.43 / $356.70	Professional		$169.97	$193.43	$356.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.56 / $667.17 / $2,800.57	Facility		$285.56	$667.17	$2,800.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $106.27 / $459.14	Professional		$33.57	$106.27	$459.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.76 / $505.52 / $1,458.34	Facility		$311.76	$505.52	$1,458.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $281.25 / $448.75	Professional		$150.72	$281.25	$448.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $300.00 / $1,073.76	Professional		$187.50	$300.00	$1,073.76
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 $243.75 / $251.77 / $271.83	Professional		$243.75	$251.77	$271.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.47 / $284.39	Professional		$32.34	$36.47	$284.39
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 $170.63 / $260.95 / $436.46	Professional		$170.63	$260.95	$436.46