Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.32 / $132.32 / $224.35	Facility		$132.32	$132.32	$224.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $132.50 / $224.35	Professional		$111.15	$132.50	$224.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.90 / $692.45 / $2,271.69	Facility		$399.90	$692.45	$2,271.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.11 / $170.51 / $170.51	Professional		$148.11	$170.51	$170.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $319.56	Facility		$214.95	$214.95	$319.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $209.30 / $256.13	Professional		$156.91	$209.30	$256.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.13 / $332.31 / $433.95	Professional		$213.13	$332.31	$433.95
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 $291.66 / $291.66 / $291.66	Professional		$291.66	$291.66	$291.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $198.10 / $208.00	Professional		$138.66	$198.10	$208.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.07 / $171.25 / $300.68	Professional		$146.07	$171.25	$300.68