Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.90 / $200.24 / $257.67	Facility		$125.90	$200.24	$257.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $145.56 / $190.01	Professional		$112.73	$145.56	$190.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.71 / $618.71 / $618.71	Facility		$618.71	$618.71	$618.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.61 / $212.48 / $253.61	Professional		$180.61	$212.48	$253.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Facility		$199.80	$199.80	$199.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $187.44 / $309.83	Professional		$135.46	$187.44	$309.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.47 / $174.71 / $409.38	Professional		$116.47	$174.71	$409.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $238.90	Professional		$32.34	$32.34	$238.90
United Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $201.38 / $342.05	Professional		$147.25	$201.38	$342.05