Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $234.42	Facility		$117.49	$117.49	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $186.21	Professional		$81.28	$114.82	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $1,584.89	Facility		$275.42	$446.68	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $154.88	Facility		$112.20	$112.20	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $229.09	Professional		$81.28	$81.28	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $275.42	Professional		$138.04	$194.98	$275.42
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 $120.23 / $120.23 / $173.78	Professional		$120.23	$120.23	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $181.97 / $295.12	Facility		$75.86	$181.97	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $169.82	Professional		$75.86	$114.82	$169.82