Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.42 / $345.56 / $586.38	Facility		$190.42	$345.56	$586.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $190.42 / $336.19	Professional		$167.54	$190.42	$336.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.02 / $690.00 / $2,577.03	Facility		$372.02	$690.00	$2,577.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $153.44 / $429.80	Professional		$42.98	$153.44	$429.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.37 / $449.05 / $1,288.91	Facility		$283.37	$449.05	$1,288.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $263.87 / $438.63	Professional		$172.35	$263.87	$438.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $280.82 / $583.84	Professional		$193.33	$280.82	$583.84
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 $228.16 / $234.20 / $254.10	Professional		$228.16	$234.20	$254.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.39 / $245.71	Professional		$32.34	$45.39	$245.71
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 $183.15 / $265.17 / $438.67	Professional		$183.15	$265.17	$438.67