Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $141.24 / $141.24	Facility		$141.24	$141.24	$141.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $143.86 / $233.74	Professional		$120.72	$143.86	$233.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.89 / $1,323.19 / $2,886.06	Facility		$448.89	$1,323.19	$2,886.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $169.21 / $169.21	Professional		$147.00	$169.21	$169.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $372.96	Facility		$278.10	$278.10	$372.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $209.82 / $298.13	Professional		$203.01	$209.82	$298.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.65 / $378.51 / $512.85	Professional		$222.65	$378.51	$512.85
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 $289.45 / $289.45 / $289.45	Professional		$289.45	$289.45	$289.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.75 / $255.37 / $268.13	Professional		$178.75	$255.37	$268.13
United Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $208.47 / $369.14	Professional		$146.09	$208.47	$369.14