Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.23 / $172.23 / $172.23	Facility		$172.23	$172.23	$172.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.79 / $172.23 / $234.31	Professional		$131.79	$172.23	$234.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.58 / $704.78 / $2,994.16	Facility		$416.58	$704.78	$2,994.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $352.68	Facility		$225.10	$225.10	$352.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $225.10 / $403.50	Professional		$164.32	$225.10	$403.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $310.98 / $690.56 / $840.68	Professional		$310.98	$690.56	$840.68
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 $452.37 / $452.37 / $452.37	Professional		$452.37	$452.37	$452.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $262.27 / $275.39	Professional		$183.59	$262.27	$275.39
United Facility/Professional Facility Modifier Low / Median / High Price $98.31 / $172.06 / $196.18	Facility		$98.31	$172.06	$196.18
United Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $173.60 / $298.02	Professional		$115.74	$173.60	$298.02