Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.87 / $131.87 / $131.87	Facility		$131.87	$131.87	$131.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $131.87 / $176.44	Professional		$89.24	$131.87	$176.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $538.00 / $2,292.46	Facility		$318.00	$538.00	$2,292.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $244.27	Facility		$172.35	$172.35	$244.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $172.35 / $309.00	Professional		$125.82	$172.35	$309.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $226.47 / $303.45 / $373.02	Professional		$226.47	$303.45	$373.02
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 $346.37 / $346.37 / $346.37	Professional		$346.37	$346.37	$346.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.57 / $200.82 / $210.86	Professional		$140.57	$200.82	$210.86
United Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $139.26 / $266.44	Facility		$131.74	$139.26	$266.44
United Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $132.91 / $235.37	Professional		$88.62	$132.91	$235.37