Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.73 / $313.61 / $331.11	Facility		$219.73	$313.61	$331.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.85 / $219.73 / $313.61	Professional		$190.85	$219.73	$313.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.98 / $769.44 / $1,540.80	Facility		$352.98	$769.44	$1,540.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $244.75 / $390.79	Professional		$154.13	$244.75	$390.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.43 / $118.92 / $16,636.00	Facility		$74.43	$118.92	$16,636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.46 / $294.24 / $525.13	Professional		$196.46	$294.24	$525.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.05 / $279.64 / $1,278.44	Professional		$188.05	$279.64	$1,278.44
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 $230.09 / $230.89 / $245.21	Professional		$230.09	$230.89	$245.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $61.04 / $256.52	Professional		$32.34	$61.04	$256.52
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $2,224.00 / $19,000.00	Facility		$204.00	$2,224.00	$19,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $312.42 / $491.47	Professional		$186.93	$312.42	$491.47