Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $302.00	Facility		$151.36	$151.36	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $302.00	Professional		$120.23	$151.36	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $575.44 / $2,041.74	Facility		$354.81	$575.44	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $223.87	Professional		$177.83	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $199.53	Facility		$190.55	$190.55	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $302.00	Professional		$138.04	$138.04	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $389.05	Professional		$239.88	$316.23	$389.05
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 $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $223.87	Professional		$158.49	$158.49	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $239.88 / $426.58	Facility		$109.65	$239.88	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $223.87	Professional		$109.65	$147.91	$223.87