Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $165.05 / $230.47	Facility		$148.69	$165.05	$230.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $171.24 / $230.47	Professional		$145.44	$171.24	$230.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,052.26 / $2,238.35 / $4,508.20	Facility		$1,052.26	$2,238.35	$4,508.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $208.17 / $650.16	Professional		$142.03	$208.17	$650.16
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 $193.30 / $201.89 / $217.22	Professional		$193.30	$201.89	$217.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $245.62	Professional		$32.34	$32.34	$245.62
United Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $232.08 / $392.16	Professional		$163.47	$232.08	$392.16