Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $128.01 / $128.01	Facility		$128.01	$128.01	$128.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $128.01 / $193.35	Professional		$101.34	$128.01	$193.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.45 / $521.86 / $2,225.31	Facility		$308.45	$521.86	$2,225.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $196.56 / $196.56	Professional		$196.56	$196.56	$196.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $251.74	Facility		$175.58	$175.58	$251.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $300.00	Professional		$128.16	$175.58	$300.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.97 / $273.49 / $346.61	Professional		$221.97	$273.49	$346.61
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 $336.22 / $336.22 / $336.22	Professional		$336.22	$336.22	$336.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.45 / $194.94 / $204.68	Professional		$136.45	$194.94	$204.68
United Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $129.03 / $222.40	Professional		$94.01	$129.03	$222.40