Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.82 / $154.82 / $154.82	Facility		$154.82	$154.82	$154.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $157.69 / $266.22	Professional		$140.34	$157.69	$266.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.34 / $607.94 / $2,591.83	Facility		$359.34	$607.94	$2,591.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $228.93 / $228.93	Professional		$200.03	$228.93	$228.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $418.35	Facility		$188.22	$188.22	$418.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $349.13	Professional		$137.40	$188.22	$349.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.04 / $373.51 / $460.25	Professional		$256.04	$373.51	$460.25
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 $391.59 / $391.59 / $391.59	Professional		$391.59	$391.59	$391.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.92 / $227.04 / $238.39	Professional		$158.92	$227.04	$238.39
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $150.28 / $266.10	Professional		$124.50	$150.28	$266.10