Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.91 / $156.91 / $156.91	Facility		$156.91	$156.91	$156.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $159.83 / $263.54	Professional		$132.04	$159.83	$263.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.84 / $1,470.10 / $3,206.48	Facility		$495.84	$1,470.10	$3,206.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $189.78 / $189.78	Professional		$164.86	$189.78	$189.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $403.60	Facility		$312.30	$312.30	$403.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $235.33 / $334.50	Professional		$227.98	$235.33	$334.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $249.71 / $428.73 / $597.01	Professional		$249.71	$428.73	$597.01
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 $324.62 / $324.62 / $324.62	Professional		$324.62	$324.62	$324.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.55 / $279.36 / $293.32	Professional		$195.55	$279.36	$293.32
United Facility/Professional Professional Modifier Low / Median / High Price $164.72 / $228.06 / $393.56	Professional		$164.72	$228.06	$393.56