Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.51 / $117.51 / $117.51	Facility		$117.51	$117.51	$117.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.61 / $119.69 / $182.14	Professional		$91.61	$119.69	$182.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.48 / $462.68 / $1,967.15	Facility		$273.48	$462.68	$1,967.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $173.76 / $173.76	Professional		$135.08	$173.76	$173.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $271.76	Facility		$125.61	$125.61	$271.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $177.58 / $265.13	Professional		$91.70	$177.58	$265.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.02 / $261.74 / $324.44	Professional		$208.02	$261.74	$324.44
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 $297.22 / $297.22 / $297.22	Professional		$297.22	$297.22	$297.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $172.32 / $180.93	Professional		$120.62	$172.32	$180.93
United Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $114.06 / $195.80	Professional		$83.58	$114.06	$195.80