Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.47 / $338.19 / $504.38	Facility		$158.47	$338.19	$504.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $158.47 / $245.63	Professional		$148.80	$158.47	$245.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $835.30 / $2,556.38	Facility		$260.88	$835.30	$2,556.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $133.34 / $148.80	Professional		$3.50	$133.34	$148.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.11 / $429.31 / $888.98	Facility		$245.11	$429.31	$888.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $235.09 / $325.95	Professional		$94.56	$235.09	$325.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $338.19 / $782.10	Professional		$200.00	$338.19	$782.10
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 $251.23 / $251.23 / $251.23	Professional		$251.23	$251.23	$251.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $262.82 / $289.88	Professional		$22.99	$262.82	$289.88
United Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $202.91 / $477.33	Facility		$193.25	$202.91	$477.33
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $197.48	Professional		$81.17	$115.95	$197.48