Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $208.93	Facility		$158.49	$194.98	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $213.80	Professional		$131.83	$154.88	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $588.84 / $1,584.89	Facility		$288.40	$588.84	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $1,096.48	Facility		$537.03	$707.95	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $269.15	Professional		$117.49	$173.78	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $269.15	Professional		$134.90	$194.98	$269.15
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 $173.78 / $181.97 / $194.98	Professional		$173.78	$181.97	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $1,412.54	Facility		$602.56	$977.24	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $269.15	Professional		$109.65	$147.91	$269.15