Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.83 / $121.83 / $121.83	Facility		$121.83	$121.83	$121.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $131.19 / $194.56	Professional		$105.17	$131.19	$194.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.14 / $497.65 / $2,117.89	Facility		$294.14	$497.65	$2,117.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $268.75	Facility		$159.22	$159.22	$268.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $159.22 / $285.38	Professional		$116.23	$159.22	$285.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.53 / $287.97 / $351.54	Professional		$221.53	$287.97	$351.54
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 $319.98 / $319.98 / $319.98	Professional		$319.98	$319.98	$319.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.86 / $185.52 / $194.79	Professional		$129.86	$185.52	$194.79
United Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $122.80 / $205.58	Professional		$93.08	$122.80	$205.58