Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $316.23 / $316.23	Facility		$218.78	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $371.54	Professional		$181.97	$223.87	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $776.25 / $1,479.11	Facility		$288.40	$776.25	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $371.54	Professional		$154.88	$245.47	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $120.23 / $16,595.87	Facility		$74.13	$120.23	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $537.03	Professional		$194.98	$295.12	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $1,621.81	Professional		$181.97	$302.00	$1,621.81
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 $229.09 / $229.09 / $245.47	Professional		$229.09	$229.09	$245.47
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 $154.88 / $1,778.28 / $19,498.45	Facility		$154.88	$1,778.28	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $501.19	Professional		$190.55	$323.59	$501.19