Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.80 / $116.80 / $116.80	Facility		$116.80	$116.80	$116.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $118.96 / $193.30	Professional		$99.83	$118.96	$193.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.19 / $1,136.80 / $2,479.51	Facility		$371.19	$1,136.80	$2,479.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $139.94 / $139.94	Professional		$121.56	$139.94	$139.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $308.39	Facility		$211.82	$211.82	$308.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $173.53 / $246.38	Professional		$154.63	$173.53	$246.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $321.35 / $423.43	Professional		$184.14	$321.35	$423.43
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 $239.38 / $239.38 / $239.38	Professional		$239.38	$239.38	$239.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.55 / $267.93 / $281.32	Professional		$187.55	$267.93	$281.32
United Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $172.37 / $305.22	Professional		$128.35	$172.37	$305.22