Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.47 / $147.47 / $147.47	Facility		$147.47	$147.47	$147.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $147.47 / $225.11	Professional		$115.90	$147.47	$225.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.44 / $581.04 / $2,468.80	Facility		$343.44	$581.04	$2,468.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.53 / $218.06 / $218.06	Professional		$183.53	$218.06	$218.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $284.23	Facility		$185.61	$185.61	$284.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $185.61 / $332.63	Professional		$135.50	$185.61	$332.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $243.88 / $336.02 / $415.89	Professional		$243.88	$336.02	$415.89
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 $373.00 / $373.00 / $373.00	Professional		$373.00	$373.00	$373.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $216.26 / $227.07	Professional		$151.38	$216.26	$227.07
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $143.13 / $251.34	Professional		$103.77	$143.13	$251.34