Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $330.00 / $518.01	Facility		$154.63	$330.00	$518.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $162.16 / $330.00	Professional		$147.08	$162.16	$330.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.58 / $720.48 / $2,129.42	Facility		$303.58	$720.48	$2,129.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $130.11 / $145.19	Professional		$3.50	$130.11	$145.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.30 / $444.38 / $868.13	Facility		$239.30	$444.38	$868.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $229.83 / $367.32	Professional		$96.46	$229.83	$367.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $347.82 / $697.71	Professional		$207.43	$347.82	$697.71
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 $245.14 / $245.14 / $245.14	Professional		$245.14	$245.14	$245.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.51 / $138.60 / $282.86	Professional		$46.51	$138.60	$282.86
United Facility/Professional Facility Modifier Low / Median / High Price $282.86 / $282.86 / $282.86	Facility		$282.86	$282.86	$282.86
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $199.88 / $324.92	Professional		$113.14	$199.88	$324.92