Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $145.94 / $145.94	Facility		$145.94	$145.94	$145.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.81 / $145.94 / $227.18	Professional		$124.81	$145.94	$227.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.67 / $572.97 / $2,443.32	Facility		$338.67	$572.97	$2,443.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $215.82 / $215.82	Professional		$188.57	$215.82	$215.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $300.95	Facility		$170.96	$170.96	$300.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $332.54	Professional		$124.80	$124.80	$332.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $332.78 / $411.88	Professional		$241.37	$332.78	$411.88
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 $369.16 / $369.16 / $369.16	Professional		$369.16	$369.16	$369.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $214.02 / $224.72	Professional		$149.81	$214.02	$224.72
United Facility/Professional Professional Modifier Low / Median / High Price $113.13 / $141.66 / $243.19	Professional		$113.13	$141.66	$243.19