Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.76 / $145.76 / $145.76	Facility		$145.76	$145.76	$145.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $145.76 / $225.92	Professional		$93.83	$145.76	$225.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.67 / $572.97 / $2,440.04	Facility		$338.67	$572.97	$2,440.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $215.52 / $215.52	Professional		$130.16	$215.52	$215.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $233.95	Facility		$150.11	$150.11	$233.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $150.11 / $328.88	Professional		$109.58	$150.11	$328.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.68 / $283.58 / $345.40	Professional		$204.68	$283.58	$345.40
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 $368.65 / $368.65 / $368.65	Professional		$368.65	$368.65	$368.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.60 / $100.86 / $105.90	Professional		$70.60	$100.86	$105.90
United Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $134.63 / $242.86	Professional		$88.42	$134.63	$242.86