Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.08 / $132.08 / $132.08	Facility		$132.08	$132.08	$132.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $132.08 / $205.58	Professional		$117.18	$132.08	$205.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.87 / $519.16 / $2,211.11	Facility		$306.87	$519.16	$2,211.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.65 / $195.30 / $195.30	Professional		$170.65	$195.30	$195.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $254.52	Facility		$166.23	$166.23	$254.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $166.23 / $297.75	Professional		$121.35	$166.23	$297.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.43 / $278.04 / $342.25	Professional		$218.43	$278.04	$342.25
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 $334.07 / $334.07 / $334.07	Professional		$334.07	$334.07	$334.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.58 / $193.69 / $203.37	Professional		$135.58	$193.69	$203.37
United Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $128.19 / $227.01	Professional		$96.20	$128.19	$227.01