Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $229.09	Facility		$114.82	$114.82	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $204.17	Professional		$102.33	$117.49	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $1,548.82	Facility		$269.15	$436.52	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $169.82	Professional		$151.36	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $151.36	Facility		$141.25	$141.25	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $251.19	Professional		$102.33	$102.33	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $323.59	Professional		$190.55	$257.04	$323.59
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 $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $169.82	Professional		$120.23	$120.23	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $181.97 / $371.54	Facility		$95.50	$181.97	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $186.21	Professional		$89.13	$112.20	$186.21