Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.90 / $155.90 / $324.16	Facility		$155.90	$155.90	$324.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.11 / $158.79 / $270.32	Professional		$138.11	$158.79	$270.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.52 / $613.32 / $2,609.91	Facility		$362.52	$613.32	$2,609.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.43 / $230.53 / $230.53	Professional		$201.43	$230.53	$230.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $346.46	Facility		$196.21	$196.21	$346.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $196.21 / $351.75	Professional		$143.22	$196.21	$351.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $355.14 / $439.83	Professional		$257.83	$355.14	$439.83
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 $394.33 / $394.33 / $394.33	Professional		$394.33	$394.33	$394.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.04 / $228.63 / $240.06	Professional		$160.04	$228.63	$240.06
United Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $151.33 / $267.95	Professional		$136.63	$151.33	$267.95