Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $645.65	Facility		$354.81	$354.81	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $446.68	Professional		$354.81	$363.08	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $295.12 / $1,071.52	Facility		$102.33	$295.12	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $95.50	Professional		$91.20	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $346.74	Professional		$151.36	$177.83	$346.74
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 $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $588.84 / $588.84	Facility		$91.20	$588.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $416.87	Professional		$380.19	$389.05	$416.87