Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.63 / $149.63 / $149.63	Facility		$149.63	$149.63	$149.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $149.63 / $233.33	Professional		$86.42	$149.63	$233.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $673.14 / $2,335.39	Facility		$318.00	$673.14	$2,335.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $199.85 / $199.85	Professional		$171.75	$199.85	$199.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $293.12	Facility		$178.39	$178.39	$293.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $178.39 / $309.00	Professional		$130.22	$178.39	$309.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.21 / $316.63 / $379.90	Professional		$251.21	$316.63	$379.90
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 $346.41 / $346.41 / $346.41	Professional		$346.41	$346.41	$346.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.81 / $234.68 / $391.71	Professional		$147.81	$234.68	$391.71
United Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $132.94 / $228.22	Professional		$99.71	$132.94	$228.22