Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $198.74 / $344.93	Facility		$163.21	$198.74	$344.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $164.25 / $180.68	Professional		$163.21	$164.25	$180.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.73 / $619.80 / $2,521.63	Facility		$269.73	$619.80	$2,521.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.18 / $191.06 / $191.06	Professional		$169.18	$191.06	$191.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Facility		$164.25	$164.25	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $190.52	Professional		$164.25	$164.25	$190.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $200.00 / $356.28	Professional		$150.99	$200.00	$356.28
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 $213.53 / $213.53 / $213.53	Professional		$213.53	$213.53	$213.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $213.19 / $228.42	Professional		$152.28	$213.19	$228.42
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $173.70 / $183.96	Professional		$164.25	$173.70	$183.96