Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $323.59	Facility		$158.49	$158.49	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $269.15	Professional		$125.89	$158.49	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $616.60 / $2,187.76	Facility		$380.19	$616.60	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $309.03	Facility		$169.82	$169.82	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $323.59	Professional		$125.89	$125.89	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $489.78	Professional		$269.15	$398.11	$489.78
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 $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $275.42	Professional		$194.98	$194.98	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $257.04 / $446.68	Facility		$181.97	$257.04	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $239.88	Professional		$120.23	$158.49	$239.88