Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.92 / $181.92 / $181.92	Facility		$181.92	$181.92	$181.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $188.03 / $225.68	Professional		$154.65	$188.03	$225.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.31 / $750.31 / $750.31	Facility		$750.31	$750.31	$750.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.92 / $194.29 / $199.94	Professional		$181.92	$194.29	$199.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $217.02	Facility		$217.02	$217.02	$217.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $301.14 / $651.12	Professional		$204.00	$301.14	$651.12
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 $226.04 / $236.50 / $252.58	Professional		$226.04	$236.50	$252.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $285.61	Professional		$32.34	$32.34	$285.61
United Facility/Professional Professional Modifier Low / Median / High Price $179.28 / $246.78 / $400.75	Professional		$179.28	$246.78	$400.75