Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.14 / $169.14 / $169.14	Facility		$169.14	$169.14	$169.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $178.24 / $283.56	Professional		$150.51	$178.24	$283.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.63 / $691.33 / $2,940.28	Facility		$408.63	$691.33	$2,940.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.70 / $259.70 / $259.70	Professional		$259.70	$259.70	$259.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $350.19	Facility		$221.07	$221.07	$350.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $221.07 / $396.00	Professional		$161.38	$221.07	$396.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $307.56 / $392.02 / $478.55	Professional		$307.56	$392.02	$478.55
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 $444.25 / $444.25 / $444.25	Professional		$444.25	$444.25	$444.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.92 / $275.60 / $289.38	Professional		$192.92	$275.60	$289.38
United Facility/Professional Professional Modifier Low / Median / High Price $132.36 / $170.48 / $292.66	Professional		$132.36	$170.48	$292.66