Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $133.47 / $133.47	Facility		$133.47	$133.47	$133.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $133.47 / $207.76	Professional		$104.31	$133.47	$207.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.05 / $524.54 / $2,234.46	Facility		$310.05	$524.54	$2,234.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $284.23	Facility		$168.00	$168.00	$284.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $304.14	Professional		$122.64	$122.64	$304.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $233.73 / $327.87 / $400.32	Professional		$233.73	$327.87	$400.32
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 $337.61 / $337.61 / $337.61	Professional		$337.61	$337.61	$337.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $158.71 / $166.64	Professional		$111.09	$158.71	$166.64
United Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $129.56 / $229.42	Professional		$96.45	$129.56	$229.42