Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $223.87	Facility		$186.21	$186.21	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $169.82 / $229.09	Professional		$19.95	$169.82	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $125.89 / $398.11	Facility		$60.26	$125.89	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $53.70	Professional		$33.11	$37.15	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $338.84	Professional		$120.23	$229.09	$338.84
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 $295.12 / $302.00 / $316.23	Professional		$295.12	$302.00	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $173.78 / $446.68	Facility		$117.49	$173.78	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $281.84	Professional		$117.49	$181.97	$281.84