Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.85 / $135.09 / $348.23	Facility		$133.85	$135.09	$348.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $135.09 / $230.03	Professional		$119.39	$135.09	$230.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $551.45 / $2,990.23	Facility		$328.00	$551.45	$2,990.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $272.94 / $272.94	Professional		$207.43	$272.94	$272.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $314.52	Facility		$108.00	$170.64	$314.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $170.64 / $316.50	Professional		$124.57	$170.64	$316.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.92 / $272.94 / $330.64	Professional		$219.92	$272.94	$330.64
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 $354.82 / $354.82 / $354.82	Professional		$354.82	$354.82	$354.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.27 / $157.53 / $165.40	Professional		$110.27	$157.53	$165.40
United Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $136.16 / $233.76	Professional		$107.42	$136.16	$233.76