Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.85 / $121.85 / $121.85	Facility		$121.85	$121.85	$121.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $121.85 / $196.94	Professional		$99.94	$121.85	$196.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.14 / $497.65 / $2,118.23	Facility		$294.14	$497.65	$2,118.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $246.17	Facility		$169.96	$169.96	$246.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $288.23	Professional		$124.07	$124.07	$288.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $217.05 / $308.45 / $377.63	Professional		$217.05	$308.45	$377.63
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 $320.02 / $320.02 / $320.02	Professional		$320.02	$320.02	$320.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $214.31 / $225.02	Professional		$150.01	$214.31	$225.02
United Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $122.82 / $210.84	Professional		$93.51	$122.82	$210.84