Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.58 / $177.58 / $177.58	Facility		$177.58	$177.58	$177.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $177.58 / $276.39	Professional		$138.79	$177.58	$276.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.25 / $949.16 / $2,972.68	Facility		$556.25	$949.16	$2,972.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.68 / $262.58 / $262.58	Professional		$222.68	$262.58	$262.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $378.17	Facility		$192.91	$192.91	$378.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $192.91 / $400.50	Professional		$140.82	$192.91	$400.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $310.95 / $428.42 / $526.00	Professional		$310.95	$428.42	$526.00
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 $449.15 / $449.15 / $449.15	Professional		$449.15	$449.15	$449.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $286.68 / $301.01	Professional		$200.67	$286.68	$301.01
United Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $172.37 / $305.22	Professional		$128.35	$172.37	$305.22