Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $223.87 / $223.87	Facility		$144.54	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $223.87	Professional		$125.89	$144.54	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $338.84 / $2,884.03	Facility		$275.42	$338.84	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $295.12	Professional		$144.54	$239.88	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $870.96	Facility		$398.11	$562.34	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $309.03	Professional		$138.04	$194.98	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $309.03 / $467.74	Professional		$138.04	$309.03	$467.74
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 $165.96 / $169.82 / $181.97	Professional		$165.96	$169.82	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $575.44 / $758.58	Facility		$323.59	$575.44	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $269.15	Professional		$128.82	$181.97	$269.15