Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.40 / $170.40 / $170.40	Facility		$170.40	$170.40	$170.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $170.40 / $222.80	Professional		$128.26	$170.40	$222.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,049.40 / $2,244.71 / $4,495.05	Facility		$1,049.40	$2,244.71	$4,495.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $19.57 / $19.57	Professional		$17.30	$19.57	$19.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $229.05	Facility		$178.86	$178.86	$229.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $178.86 / $379.69	Professional		$152.03	$178.86	$379.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $100.00 / $345.40	Professional		$34.92	$100.00	$345.40
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 $29.36 / $39.14 / $156.12	Professional		$29.36	$39.14	$156.12
United Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $136.69 / $269.07	Professional		$100.16	$136.69	$269.07