Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.22 / $118.22 / $118.22	Facility		$118.22	$118.22	$118.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $118.22 / $184.00	Professional		$84.90	$118.22	$184.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.07 / $465.37 / $1,979.01	Facility		$275.07	$465.37	$1,979.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $174.80 / $174.80	Professional		$120.17	$174.80	$174.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $205.08	Facility		$116.51	$116.51	$205.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $116.50 / $266.63	Professional		$85.05	$116.50	$266.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $254.87 / $313.73	Professional		$200.00	$254.87	$313.73
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 $299.00 / $299.00 / $299.00	Professional		$299.00	$299.00	$299.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $173.36 / $182.02	Professional		$121.35	$173.36	$182.02
United Facility/Professional Facility Modifier Low / Median / High Price $62.99 / $92.18 / $230.00	Facility		$62.99	$92.18	$230.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $112.10 / $196.99	Professional		$76.50	$112.10	$196.99