Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $263.03	Facility		$131.83	$131.83	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $263.03	Professional		$104.71	$138.04	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $1,778.28	Facility		$309.03	$501.19	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $194.98	Professional		$169.82	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $173.78	Facility		$165.96	$165.96	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $263.03	Professional		$120.23	$120.23	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $346.74	Professional		$213.80	$275.42	$346.74
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 $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $194.98	Professional		$134.90	$134.90	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $204.17 / $380.19	Facility		$97.72	$204.17	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $190.55	Professional		$95.50	$128.82	$190.55