Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $295.12	Facility		$147.91	$147.91	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $295.12	Professional		$114.82	$147.91	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $562.34 / $1,995.26	Facility		$346.74	$562.34	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $229.09	Professional		$181.97	$218.78	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $190.55	Facility		$186.21	$186.21	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $288.40	Professional		$134.90	$134.90	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $416.87	Professional		$245.47	$338.84	$416.87
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 $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $213.80	Professional		$151.36	$151.36	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $229.09 / $407.38	Facility		$104.71	$229.09	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $213.80	Professional		$104.71	$144.54	$213.80