Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.77 / $376.38 / $690.33	Facility		$195.77	$376.38	$690.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $195.77 / $376.38	Professional		$168.16	$195.77	$376.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.88 / $974.97 / $4,222.76	Facility		$334.88	$974.97	$4,222.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.71 / $234.26 / $362.50	Professional		$118.71	$234.26	$362.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.85 / $270.85 / $553.80	Facility		$152.85	$270.85	$553.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $136.18 / $385.77	Professional		$105.62	$136.18	$385.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $232.36 / $345.40 / $613.89	Professional		$232.36	$345.40	$613.89
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 $274.61 / $279.89 / $299.14	Professional		$274.61	$279.89	$299.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $145.57 / $312.95	Professional		$32.34	$145.57	$312.95
United Facility/Professional Facility Modifier Low / Median / High Price $190.75 / $1,638.58 / $1,638.58	Facility		$190.75	$1,638.58	$1,638.58
United Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $241.61 / $340.45	Professional		$144.97	$241.61	$340.45