Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.07 / $158.07 / $158.07	Facility		$158.07	$158.07	$158.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.65 / $160.16 / $240.75	Professional		$136.65	$160.16	$240.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.60 / $645.60 / $2,747.86	Facility		$381.60	$645.60	$2,747.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $301.48	Facility		$170.54	$170.54	$301.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $370.13	Professional		$124.49	$170.54	$370.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $271.45 / $395.53 / $484.22	Professional		$271.45	$395.53	$484.22
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 $415.18 / $415.18 / $415.18	Professional		$415.18	$415.18	$415.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.62 / $278.02 / $291.93	Professional		$194.62	$278.02	$291.93
United Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $159.33 / $282.13	Professional		$114.04	$159.33	$282.13