Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $158.49 / $181.97	Facility		$141.25	$158.49	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $204.17	Professional		$123.03	$151.36	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $602.56 / $1,698.24	Facility		$302.00	$602.56	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $194.98 / $295.12	Facility		$87.10	$194.98	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $323.59	Professional		$134.90	$218.78	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $831.76	Professional		$199.53	$346.74	$831.76
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 $204.17 / $204.17 / $251.19	Professional		$204.17	$204.17	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $120.23 / $186.21	Facility		$64.57	$120.23	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $316.23	Professional		$147.91	$199.53	$316.23