Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.80 / $154.80 / $154.80	Facility		$154.80	$154.80	$154.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.07 / $154.80 / $240.94	Professional		$131.07	$154.80	$240.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.34 / $607.94 / $2,591.37	Facility		$359.34	$607.94	$2,591.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $354.22	Facility		$188.19	$188.19	$354.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $188.19 / $349.13	Professional		$137.38	$188.19	$349.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.99 / $456.73 / $651.41	Professional		$255.99	$456.73	$651.41
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 $391.52 / $391.52 / $391.52	Professional		$391.52	$391.52	$391.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $242.89 / $255.03	Professional		$170.02	$242.89	$255.03
United Facility/Professional Professional Modifier Low / Median / High Price $125.21 / $150.25 / $257.93	Professional		$125.21	$150.25	$257.93