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 $159.21 / $159.21 / $276.83	Facility		$159.21	$159.21	$276.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $159.21 / $304.13	Professional		$116.22	$159.21	$304.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $244.09 / $301.56 / $367.12	Professional		$244.09	$301.56	$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 $159.79 / $228.28 / $239.69	Professional		$159.79	$228.28	$239.69
United Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $130.82 / $224.57	Professional		$101.34	$130.82	$224.57