Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.79 / $129.79 / $129.79	Facility		$129.79	$129.79	$129.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.67 / $138.00 / $204.90	Professional		$117.67	$138.00	$204.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.23 / $529.92 / $2,256.19	Facility		$313.23	$529.92	$2,256.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.29 / $199.29 / $199.29	Professional		$199.29	$199.29	$199.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $276.83	Facility		$184.91	$184.91	$276.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $184.91 / $304.13	Professional		$134.97	$184.91	$304.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $236.01 / $290.77 / $367.12	Professional		$236.01	$290.77	$367.12
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 $340.90 / $340.90 / $340.90	Professional		$340.90	$340.90	$340.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $211.48 / $222.05	Professional		$148.03	$211.48	$222.05
United Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $130.82 / $224.57	Professional		$101.34	$130.82	$224.57