Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $229.09	Facility		$141.25	$141.25	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $234.42	Professional		$134.90	$158.49	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $562.34 / $2,691.53	Facility		$416.87	$562.34	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $169.82	Professional		$147.91	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $380.19	Facility		$275.42	$275.42	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $295.12	Professional		$204.17	$204.17	$295.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $512.86	Professional		$223.87	$389.05	$512.86
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 $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $257.04	Professional		$177.83	$177.83	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $177.83 / $501.19	Facility		$162.18	$177.83	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $323.59	Professional		$138.04	$208.93	$323.59