Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.96 / $162.96 / $162.96	Facility		$162.96	$162.96	$162.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $165.97 / $253.64	Professional		$141.52	$165.97	$253.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.42 / $640.22 / $2,727.90	Facility		$378.42	$640.22	$2,727.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.54 / $240.96 / $240.96	Professional		$210.54	$240.96	$240.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $396.59	Facility		$205.09	$205.09	$396.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $205.09 / $367.50	Professional		$149.72	$205.09	$367.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $613.23 / $874.61	Professional		$269.49	$613.23	$874.61
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 $412.17 / $412.17 / $412.17	Professional		$412.17	$412.17	$412.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.27 / $238.97 / $250.91	Professional		$167.27	$238.97	$250.91
United Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $158.16 / $280.08	Professional		$123.85	$158.16	$280.08