Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.68 / $176.68 / $176.68	Facility		$176.68	$176.68	$176.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.08 / $176.68 / $275.01	Professional		$125.08	$176.68	$275.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.22 / $694.02 / $2,957.77	Facility		$410.22	$694.02	$2,957.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.28 / $261.26 / $261.26	Professional		$228.28	$261.26	$261.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $348.14	Facility		$189.91	$189.91	$348.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $189.91 / $398.63	Professional		$138.63	$189.91	$398.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.22 / $343.76 / $418.43	Professional		$269.22	$343.76	$418.43
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 $446.89 / $446.89 / $446.89	Professional		$446.89	$446.89	$446.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.06 / $277.23 / $291.09	Professional		$194.06	$277.23	$291.09
United Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $171.49 / $303.67	Professional		$137.68	$171.49	$303.67