Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $323.59 / $331.13	Facility		$213.80	$323.59	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $331.13	Professional		$165.96	$208.93	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $467.74 / $1,548.82	Facility		$186.21	$467.74	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $338.84	Professional		$107.15	$213.80	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $257.04 / $436.52	Facility		$208.93	$257.04	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $398.11	Professional		$154.88	$263.03	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $575.44	Professional		$181.97	$316.23	$575.44
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 $229.09 / $251.19 / $269.15	Professional		$229.09	$251.19	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $45.71	Professional		$32.36	$33.11	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $309.03 / $446.68	Facility		$109.65	$309.03	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $398.11	Professional		$158.49	$229.09	$398.11