Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.43 / $138.43 / $138.43	Facility		$138.43	$138.43	$138.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.43 / $150.44 / $237.75	Professional		$138.43	$150.44	$237.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.90 / $564.90 / $2,406.58	Facility		$333.90	$564.90	$2,406.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.56 / $212.56 / $212.56	Professional		$212.56	$212.56	$212.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $335.08	Facility		$174.77	$174.77	$335.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $174.77 / $324.38	Professional		$127.58	$174.77	$324.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.72 / $348.98 / $427.23	Professional		$251.72	$348.98	$427.23
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 $363.60 / $363.60 / $363.60	Professional		$363.60	$363.60	$363.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.90 / $225.58 / $236.85	Professional		$157.90	$225.58	$236.85
United Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $139.54 / $239.54	Professional		$116.28	$139.54	$239.54