Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $239.88	Facility		$117.49	$117.49	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $223.87	Professional		$85.11	$117.49	$223.87
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 $125.89 / $125.89 / $263.03	Facility		$125.89	$125.89	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $257.04	Professional		$93.33	$93.33	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $331.13	Professional		$199.53	$257.04	$331.13
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 $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $177.83	Professional		$125.89	$125.89	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $190.55 / $316.23	Facility		$125.89	$190.55	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $181.97	Professional		$85.11	$117.49	$181.97