Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.07 / $116.07 / $116.07	Facility		$116.07	$116.07	$116.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $116.07 / $189.84	Professional		$101.61	$116.07	$189.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.30 / $457.30 / $1,943.08	Facility		$270.30	$457.30	$1,943.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $171.64 / $171.64	Professional		$149.97	$171.64	$171.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $248.42	Facility		$141.12	$141.12	$248.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $264.37	Professional		$103.02	$103.02	$264.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $264.08 / $319.06	Professional		$200.00	$264.08	$319.06
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 $293.58 / $293.58 / $293.58	Professional		$293.58	$293.58	$293.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.15 / $170.22 / $178.73	Professional		$119.15	$170.22	$178.73
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $112.67 / $194.00	Professional		$88.22	$112.67	$194.00