Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $149.83 / $221.88	Facility		$93.21	$149.83	$221.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $158.44 / $282.77	Professional		$141.38	$158.44	$282.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.60 / $579.49 / $2,010.48	Facility		$265.60	$579.49	$2,010.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $163.13 / $163.13	Professional		$163.13	$163.13	$163.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $212.04 / $277.39	Professional		$145.37	$212.04	$277.39
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 $17.54 / $17.54 / $123.32	Professional		$17.54	$17.54	$123.32
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $173.48 / $176.42	Professional		$147.02	$173.48	$176.42