Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $139.50 / $139.50	Facility		$139.50	$139.50	$139.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $139.50 / $186.86	Professional		$99.41	$139.50	$186.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.08 / $570.28 / $2,425.01	Facility		$337.08	$570.28	$2,425.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $214.20 / $214.20	Professional		$214.20	$214.20	$214.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $244.53	Facility		$182.31	$182.31	$244.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $182.31 / $326.63	Professional		$133.09	$182.31	$326.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.56 / $297.01 / $376.42	Professional		$239.56	$297.01	$376.42
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 $366.39 / $366.39 / $366.39	Professional		$366.39	$366.39	$366.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.70 / $212.43 / $223.05	Professional		$148.70	$212.43	$223.05
United Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $140.60 / $248.97	Professional		$93.74	$140.60	$248.97