Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $239.88	Facility		$114.82	$114.82	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $213.80	Professional		$75.86	$114.82	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $457.09 / $1,621.81	Facility		$281.84	$457.09	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $204.17	Facility		$112.20	$112.20	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $234.42	Professional		$83.18	$83.18	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $281.84	Professional		$186.21	$229.09	$281.84
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 $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $177.83	Professional		$123.03	$123.03	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $186.21 / $288.40	Facility		$114.82	$186.21	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $162.18	Professional		$77.62	$117.49	$162.18