Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.49 / $233.15 / $383.27	Facility		$160.49	$233.15	$383.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.15 / $160.49 / $233.15	Professional		$126.15	$160.49	$233.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.92 / $511.45 / $1,531.84	Facility		$183.92	$511.45	$1,531.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $190.52 / $297.05	Professional		$70.81	$190.52	$297.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.75 / $322.82 / $1,017.42	Facility		$155.75	$322.82	$1,017.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $199.77 / $306.29	Professional		$124.20	$199.77	$306.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.37 / $262.06 / $688.89	Professional		$177.37	$262.06	$688.89
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 $193.88 / $198.16 / $212.93	Professional		$193.88	$198.16	$212.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $76.95 / $222.75	Professional		$32.34	$76.95	$222.75
United Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $194.82 / $312.76	Professional		$141.53	$194.82	$312.76