Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.38 / $123.38 / $123.38	Facility		$123.38	$123.38	$123.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $125.56 / $185.34	Professional		$107.00	$125.56	$185.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $503.03 / $2,144.78	Facility		$297.33	$503.03	$2,144.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.45 / $189.45 / $189.45	Professional		$189.45	$189.45	$189.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $261.22	Facility		$166.47	$166.47	$261.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $166.47 / $289.13	Professional		$121.52	$166.47	$289.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $265.74 / $336.81	Professional		$216.59	$265.74	$336.81
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 $324.05 / $324.05 / $324.05	Professional		$324.05	$324.05	$324.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $187.89 / $197.28	Professional		$131.52	$187.89	$197.28
United Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $124.36 / $213.49	Professional		$87.89	$124.36	$213.49