Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.52 / $148.52 / $148.52	Facility		$148.52	$148.52	$148.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.09 / $148.52 / $231.16	Professional		$119.09	$148.52	$231.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $583.73 / $2,486.17	Facility		$345.03	$583.73	$2,486.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.13 / $219.60 / $219.60	Professional		$172.13	$219.60	$219.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $320.02	Facility		$165.40	$165.40	$320.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $165.40 / $334.88	Professional		$120.74	$165.40	$334.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.61 / $340.22 / $409.32	Professional		$245.61	$340.22	$409.32
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 $375.64 / $375.64 / $375.64	Professional		$375.64	$375.64	$375.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.46 / $217.80 / $228.69	Professional		$152.46	$217.80	$228.69
United Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $144.16 / $255.26	Professional		$110.05	$144.16	$255.26