Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.65 / $159.65 / $242.20	Facility		$159.65	$159.65	$242.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $159.65 / $248.61	Professional		$125.89	$159.65	$248.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.55 / $1,592.64 / $3,189.26	Facility		$744.55	$1,592.64	$3,189.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.69 / $206.41 / $206.41	Professional		$174.69	$206.41	$206.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $672.92 / $674.74	Professional		$345.40	$672.92	$674.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $344.01 / $385.29 / $404.56	Professional		$344.01	$385.29	$404.56
United Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $144.59 / $240.98	Professional		$120.49	$144.59	$240.98