Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $213.80	Facility		$107.15	$107.15	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $213.80	Professional		$102.33	$114.82	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $407.38 / $1,445.44	Facility		$251.19	$407.38	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $158.49	Professional		$134.90	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $141.25	Facility		$134.90	$134.90	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $234.42	Professional		$100.00	$100.00	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $371.54	Professional		$177.83	$288.40	$371.54
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 $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $120.23	Professional		$85.11	$85.11	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $169.82 / $331.13	Facility		$85.11	$169.82	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $165.96	Professional		$79.43	$104.71	$165.96