Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.22 / $108.22 / $108.22	Facility		$108.22	$108.22	$108.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $108.22 / $182.76	Professional		$88.77	$108.22	$182.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.22 / $425.02 / $1,811.71	Facility		$251.22	$425.02	$1,811.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.82 / $160.02 / $160.02	Professional		$139.82	$160.02	$160.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $236.38	Facility		$136.19	$136.19	$236.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $244.13	Professional		$99.43	$136.19	$244.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $189.50 / $289.83 / $367.54	Professional		$189.50	$289.83	$367.54
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 $273.72 / $273.72 / $273.72	Professional		$273.72	$273.72	$273.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $121.51 / $127.58	Professional		$85.05	$121.51	$127.58
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $105.04 / $215.14	Professional		$83.86	$105.04	$215.14