Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.94 / $284.04 / $387.14	Facility		$174.94	$284.04	$387.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.84 / $180.39 / $284.04	Professional		$153.84	$180.39	$284.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.40 / $683.26 / $4,090.95	Facility		$406.40	$683.26	$4,090.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.43 / $340.84 / $342.06	Professional		$269.43	$340.84	$342.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $476.29 / $937.82	Facility		$188.27	$476.29	$937.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $222.58 / $368.68	Professional		$90.06	$222.58	$368.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.28 / $228.51 / $1,386.79	Professional		$149.28	$228.51	$1,386.79
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 $186.68 / $190.84 / $210.55	Professional		$186.68	$190.84	$210.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $238.08	Professional		$32.34	$32.34	$238.08
United Facility/Professional Professional Modifier Low / Median / High Price $165.29 / $212.27 / $331.93	Professional		$165.29	$212.27	$331.93