Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.04 / $194.32 / $254.30	Facility		$157.04	$194.32	$254.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $156.38 / $203.44	Professional		$131.30	$156.38	$203.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.60 / $579.72 / $2,011.30	Facility		$273.60	$579.72	$2,011.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.21 / $577.09 / $1,104.17	Facility		$534.21	$577.09	$1,104.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $173.93 / $258.85	Professional		$100.81	$173.93	$258.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.05 / $195.69 / $278.48	Professional		$138.05	$195.69	$278.48
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 $173.94 / $181.10 / $195.69	Professional		$173.94	$181.10	$195.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $225.80	Professional		$32.34	$32.34	$225.80
United Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $159.81 / $297.86	Professional		$115.04	$159.81	$297.86