Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.33 / $119.33 / $119.33	Facility		$119.33	$119.33	$119.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $119.33 / $187.34	Professional		$91.17	$119.33	$187.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.79 / $486.89 / $2,074.57	Facility		$287.79	$486.89	$2,074.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.24 / $183.24 / $206.29	Professional		$183.24	$183.24	$206.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $299.41	Facility		$170.15	$170.15	$299.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $170.15 / $279.38	Professional		$124.21	$170.15	$279.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $311.25 / $374.22	Professional		$217.00	$311.25	$374.22
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 $313.44 / $313.44 / $313.44	Professional		$313.44	$313.44	$313.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.21 / $181.73 / $190.81	Professional		$127.21	$181.73	$190.81
United Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $120.29 / $213.00	Professional		$85.30	$120.29	$213.00