Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $346.74	Facility		$173.78	$173.78	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $331.13	Professional		$138.04	$173.78	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $660.69 / $2,344.23	Facility		$407.38	$660.69	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $257.04	Professional		$218.78	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $229.09	Facility		$218.78	$218.78	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $338.84	Professional		$158.49	$158.49	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $478.63	Professional		$288.40	$389.05	$478.63
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 $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $257.04	Professional		$177.83	$177.83	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $269.15 / $489.78	Facility		$128.82	$269.15	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $257.04	Professional		$125.89	$169.82	$257.04