Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.52 / $135.52 / $135.52	Facility		$135.52	$135.52	$135.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $135.52 / $189.25	Professional		$106.50	$135.52	$189.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.54 / $554.14 / $2,355.98	Facility		$327.54	$554.14	$2,355.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.10 / $208.10 / $208.10	Professional		$208.10	$208.10	$208.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $249.22	Facility		$194.51	$194.51	$249.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $194.51 / $317.63	Professional		$141.99	$194.51	$317.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.06 / $269.81 / $327.83	Professional		$219.06	$269.81	$327.83
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 $355.97 / $355.97 / $355.97	Professional		$355.97	$355.97	$355.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $206.38 / $216.69	Professional		$144.46	$206.38	$216.69
United Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $136.60 / $239.86	Professional		$93.60	$136.60	$239.86