Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $320.00 / $522.00	Facility		$164.00	$320.00	$522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $164.00 / $190.00	Professional		$154.00	$164.00	$190.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $280.00 / $354.00	Facility		$234.00	$280.00	$354.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $304.00	Professional		$304.00	$304.00	$304.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.84 / $488.67 / $920.25	Facility		$253.84	$488.67	$920.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $243.41 / $291.63	Professional		$240.00	$243.41	$291.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $280.00 / $420.00	Professional		$200.00	$280.00	$420.00
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 $272.00 / $272.00 / $300.00	Professional		$272.00	$272.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $200.00	Professional		$84.00	$120.00	$200.00