Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.38 / $172.46 / $245.90	Facility		$166.38	$172.46	$245.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $175.65 / $279.12	Professional		$140.91	$175.65	$279.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.68 / $677.88 / $2,886.98	Facility		$400.68	$677.88	$2,886.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $255.00 / $255.00	Professional		$183.50	$255.00	$255.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $360.33	Facility		$216.42	$216.42	$360.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $388.88	Professional		$157.99	$216.42	$388.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $403.89 / $503.20	Professional		$285.20	$403.89	$503.20
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 $436.19 / $436.19 / $436.19	Professional		$436.19	$436.19	$436.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $252.89 / $265.53	Professional		$177.02	$252.89	$265.53
United Facility/Professional Facility Modifier Low / Median / High Price $104.55 / $153.02 / $335.53	Facility		$104.55	$153.02	$335.53
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $167.39 / $296.41	Professional		$128.66	$167.39	$296.41