Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.01 / $173.81 / $2,212.76	Facility		$156.01	$173.81	$2,212.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $160.06 / $214.20	Professional		$121.35	$160.06	$214.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.52 / $613.32 / $2,611.67	Facility		$362.52	$613.32	$2,611.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.57 / $230.68 / $230.68	Professional		$201.57	$230.68	$230.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $342.65	Facility		$175.81	$175.81	$342.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $175.81 / $351.75	Professional		$128.34	$175.81	$351.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $317.70 / $399.77	Professional		$258.00	$317.70	$399.77
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 $394.59 / $394.59 / $394.59	Professional		$394.59	$394.59	$394.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.15 / $228.79 / $240.22	Professional		$160.15	$228.79	$240.22
United Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $151.43 / $268.14	Professional		$110.80	$151.43	$268.14