Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.78 / $153.78 / $153.78	Facility		$153.78	$153.78	$153.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.57 / $161.29 / $257.08	Professional		$136.57	$161.29	$257.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.47 / $626.77 / $2,673.31	Facility		$370.47	$626.77	$2,673.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $236.13 / $236.13	Professional		$236.13	$236.13	$236.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $340.54	Facility		$197.02	$197.02	$340.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $197.02 / $360.38	Professional		$143.82	$197.02	$360.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $279.63 / $349.79 / $434.98	Professional		$279.63	$349.79	$434.98
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 $403.91 / $403.91 / $403.91	Professional		$403.91	$403.91	$403.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.92 / $234.18 / $245.88	Professional		$163.92	$234.18	$245.88
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $155.00 / $322.93	Professional		$127.14	$155.00	$322.93