Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.83 / $130.83 / $130.83	Facility		$130.83	$130.83	$130.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $130.83 / $175.29	Professional		$78.56	$130.83	$175.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.69 / $513.79 / $2,190.09	Facility		$303.69	$513.79	$2,190.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $193.44 / $193.44	Professional		$123.04	$193.44	$193.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $229.90	Facility		$119.29	$119.29	$229.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $295.13	Professional		$87.08	$87.08	$295.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.80 / $254.53 / $315.62	Professional		$190.80	$254.53	$315.62
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 $330.89 / $330.89 / $330.89	Professional		$330.89	$330.89	$330.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.68 / $205.27 / $215.53	Professional		$143.68	$205.27	$215.53
United Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $120.84 / $217.99	Professional		$79.37	$120.84	$217.99