Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $60.26 / $107.15	Facility		$43.65	$60.26	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $190.55	Professional		$89.13	$107.15	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $524.81 / $1,445.44	Facility		$288.40	$524.81	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $158.49	Professional		$134.90	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $234.42	Facility		$147.91	$147.91	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $229.09	Professional		$109.65	$109.65	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $323.59	Professional		$190.55	$263.03	$323.59
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 $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $169.82	Professional		$117.49	$117.49	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $169.82 / $309.03	Facility		$79.43	$169.82	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $162.18	Professional		$77.62	$104.71	$162.18