Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $257.04	Facility		$123.03	$123.03	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $239.88	Professional		$91.20	$125.89	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $1,737.80	Facility		$302.00	$478.63	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $269.15	Facility		$165.96	$165.96	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $263.03	Professional		$120.23	$120.23	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $338.84	Professional		$213.80	$263.03	$338.84
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 $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $186.21	Professional		$131.83	$131.83	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $199.53 / $346.74	Facility		$141.25	$199.53	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $186.21	Professional		$93.33	$123.03	$186.21