Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $229.09	Facility		$114.82	$114.82	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $229.09	Professional		$97.72	$117.49	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $1,548.82	Facility		$269.15	$436.52	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $151.36	Facility		$134.90	$134.90	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $263.03	Professional		$100.00	$100.00	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $457.09 / $660.69	Professional		$190.55	$457.09	$660.69
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 $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $131.83	Professional		$91.20	$91.20	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $354.81	Facility		$91.20	$181.97	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $190.55	Professional		$87.10	$112.20	$190.55