Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $467.74	Facility		$162.18	$269.15	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $162.18	Professional		$104.71	$128.82	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $213.80 / $257.04	Facility		$186.21	$213.80	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $295.12 / $724.44	Facility		$102.33	$295.12	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $229.09	Professional		$181.97	$190.55	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $346.74	Professional		$158.49	$218.78	$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
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 $158.49 / $158.49 / $316.23	Facility		$158.49	$158.49	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $158.49	Professional		$66.07	$93.33	$158.49