Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.19 / $161.19 / $161.19	Facility		$161.19	$161.19	$161.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $173.59 / $273.77	Professional		$161.19	$173.59	$273.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.55 / $659.05 / $2,802.22	Facility		$389.55	$659.05	$2,802.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $247.52 / $247.52	Professional		$247.52	$247.52	$247.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $358.26	Facility		$203.51	$203.51	$358.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $203.51 / $377.63	Professional		$148.56	$203.51	$377.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $293.13 / $378.36 / $461.88	Professional		$293.13	$378.36	$461.88
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 $423.40 / $423.40 / $423.40	Professional		$423.40	$423.40	$423.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.85 / $262.64 / $275.78	Professional		$183.85	$262.64	$275.78
United Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $162.47 / $287.70	Professional		$135.40	$162.47	$287.70