Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.08 / $174.08 / $174.08	Facility		$174.08	$174.08	$174.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $174.08 / $234.71	Professional		$116.53	$174.08	$234.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.45 / $685.95 / $2,914.10	Facility		$405.45	$685.95	$2,914.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $257.39 / $257.39	Professional		$163.72	$257.39	$257.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $375.36	Facility		$159.91	$159.91	$375.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $396.55	Professional		$116.74	$116.74	$396.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $280.66 / $355.62 / $431.55	Professional		$280.66	$355.62	$431.55
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 $440.30 / $440.30 / $440.30	Professional		$440.30	$440.30	$440.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.70 / $255.29 / $268.05	Professional		$178.70	$255.29	$268.05
United Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $163.69 / $281.62	Professional		$106.40	$163.69	$281.62