Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.77 / $107.77 / $107.77	Facility		$107.77	$107.77	$107.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $116.06 / $183.03	Professional		$97.24	$116.06	$183.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.76 / $441.16 / $1,873.46	Facility		$260.76	$441.16	$1,873.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.48 / $165.48 / $165.48	Professional		$165.48	$165.48	$165.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $239.51	Facility		$140.85	$140.85	$239.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $254.90	Professional		$102.82	$102.82	$254.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $254.61 / $309.20	Professional		$200.00	$254.61	$309.20
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 $283.06 / $283.06 / $283.06	Professional		$283.06	$283.06	$283.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.88 / $164.12 / $172.32	Professional		$114.88	$164.12	$172.32
United Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $108.63 / $190.73	Professional		$97.14	$108.63	$190.73