Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $323.59	Facility		$162.18	$162.18	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $323.59	Professional		$151.36	$177.83	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $616.60 / $2,187.76	Facility		$380.19	$616.60	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $239.88	Professional		$208.93	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $213.80	Facility		$204.17	$204.17	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $371.54	Professional		$151.36	$151.36	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $616.60 / $870.96	Professional		$269.15	$616.60	$870.96
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 $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $239.88	Professional		$165.96	$165.96	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $251.19 / $512.86	Facility		$134.90	$251.19	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $263.03	Professional		$123.03	$158.49	$263.03