Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.11 / $211.02 / $428.38	Facility		$131.11	$211.02	$428.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $200.56 / $333.50	Professional		$153.87	$200.56	$333.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.20 / $602.07 / $2,319.82	Facility		$219.20	$602.07	$2,319.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.64 / $221.64 / $221.64	Professional		$221.64	$221.64	$221.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Facility		$215.17	$215.17	$215.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Professional		$215.17	$215.17	$215.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $83.34 / $284.58	Professional		$52.56	$83.34	$284.58
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 $60.19 / $62.39 / $66.98	Professional		$60.19	$62.39	$66.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $128.12 / $183.69	Professional		$128.12	$128.12	$183.69
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $226.70 / $253.43	Professional		$192.12	$226.70	$253.43