Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.67 / $173.67 / $173.67	Facility		$173.67	$173.67	$173.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $173.67 / $270.31	Professional		$137.18	$173.67	$270.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.86 / $683.26 / $2,907.29	Facility		$403.86	$683.26	$2,907.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.78 / $256.80 / $256.80	Professional		$217.78	$256.80	$256.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $331.40	Facility		$218.57	$218.57	$331.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $218.57 / $391.88	Professional		$159.56	$218.57	$391.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $287.20 / $384.74 / $476.91	Professional		$287.20	$384.74	$476.91
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 $439.26 / $439.26 / $439.26	Professional		$439.26	$439.26	$439.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.26 / $254.67 / $267.40	Professional		$178.26	$254.67	$267.40
United Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $168.57 / $289.38	Professional		$125.26	$168.57	$289.38