Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $380.19 / $691.83	Facility		$194.98	$380.19	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $380.19	Professional		$162.18	$194.98	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,096.48 / $3,715.35	Facility		$346.74	$1,096.48	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $363.08	Professional		$117.49	$234.42	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $257.04 / $549.54	Facility		$77.62	$257.04	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $398.11	Professional		$104.71	$151.36	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $616.60	Professional		$229.09	$346.74	$616.60
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 $275.42 / $281.84 / $302.00	Professional		$275.42	$281.84	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $1,621.81 / $2,187.76	Facility		$60.26	$1,621.81	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $363.08	Professional		$144.54	$245.47	$363.08