Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $288.00 / $514.55	Facility		$153.60	$288.00	$514.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $191.23	Professional		$153.60	$153.60	$191.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.26 / $590.28 / $2,564.35	Facility		$229.26	$590.28	$2,564.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $188.20 / $227.15	Professional		$142.66	$188.20	$227.15
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 $155.64 / $155.64 / $159.96	Professional		$155.64	$155.64	$159.96
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $169.76	Professional		$160.00	$160.00	$169.76