Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.46 / $119.46 / $119.46	Facility		$119.46	$119.46	$119.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $121.68 / $155.68	Professional		$105.55	$121.68	$155.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.25 / $470.75 / $1,999.90	Facility		$278.25	$470.75	$1,999.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.35 / $176.65 / $176.65	Professional		$154.35	$176.65	$176.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $272.60	Facility		$144.84	$144.84	$272.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $272.60	Professional		$105.73	$105.73	$272.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $283.60 / $348.65	Professional		$200.00	$283.60	$348.65
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 $302.16 / $302.16 / $302.16	Professional		$302.16	$302.16	$302.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.20 / $187.44 / $196.81	Professional		$131.20	$187.44	$196.81
United Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $115.95 / $199.12	Professional		$90.55	$115.95	$199.12