Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $117.03 / $117.03	Facility		$117.03	$117.03	$117.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.48 / $126.03 / $186.67	Professional		$111.48	$126.03	$186.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.02 / $478.82 / $2,034.42	Facility		$283.02	$478.82	$2,034.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.69 / $179.69 / $179.69	Professional		$179.69	$179.69	$179.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $260.76	Facility		$138.76	$138.76	$260.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $274.13	Professional		$101.29	$138.76	$274.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.80 / $263.95 / $331.02	Professional		$212.80	$263.95	$331.02
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 $307.37 / $307.37 / $307.37	Professional		$307.37	$307.37	$307.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $178.21 / $187.12	Professional		$124.74	$178.21	$187.12
United Facility/Professional Facility Modifier Low / Median / High Price $236.44 / $355.31 / $660.28	Facility		$236.44	$355.31	$660.28
United Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $117.96 / $202.50	Professional		$94.20	$117.96	$202.50