Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $155.31 / $277.33	Facility		$138.66	$155.31	$277.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $139.21 / $153.13	Professional		$138.66	$139.21	$153.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.60 / $242.61 / $1,224.60	Facility		$129.60	$242.61	$1,224.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.38 / $167.59 / $167.59	Professional		$148.38	$167.59	$167.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Facility		$139.21	$139.21	$139.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $161.16	Professional		$139.21	$139.21	$161.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $161.16 / $350.41	Professional		$118.33	$161.16	$350.41
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 $180.97 / $180.97 / $180.97	Professional		$180.97	$180.97	$180.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $190.69 / $204.32	Professional		$136.21	$190.69	$204.32
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $147.22 / $164.27	Professional		$139.21	$147.22	$164.27