Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.02 / $387.24 / $574.99	Facility		$180.02	$387.24	$574.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.18 / $171.64 / $387.24	Professional		$161.18	$171.64	$387.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.40 / $422.62 / $2,008.24	Facility		$246.40	$422.62	$2,008.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.26 / $500.70 / $963.43	Facility		$146.26	$500.70	$963.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $240.37 / $319.04	Professional		$87.79	$240.37	$319.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $282.58 / $398.75	Professional		$200.00	$282.58	$398.75
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 $272.12 / $272.12 / $272.12	Professional		$272.12	$272.12	$272.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $135.68 / $261.64	Professional		$76.92	$135.68	$261.64
United Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $112.14 / $209.32	Professional		$87.15	$112.14	$209.32