Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.29 / $125.29 / $203.58	Facility		$125.29	$125.29	$203.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $125.29 / $185.56	Professional		$87.04	$125.29	$185.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.97 / $492.27 / $2,097.35	Facility		$290.97	$492.27	$2,097.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $185.25 / $185.25	Professional		$128.54	$185.25	$185.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $220.02	Facility		$142.94	$142.94	$220.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $142.94 / $282.75	Professional		$104.35	$142.94	$282.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.71 / $243.75 / $302.25	Professional		$188.71	$243.75	$302.25
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 $316.88 / $316.88 / $316.88	Professional		$316.88	$316.88	$316.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $196.58 / $206.40	Professional		$137.60	$196.58	$206.40
United Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $117.80 / $208.75	Professional		$81.06	$117.80	$208.75