Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $275.08 / $6,347.81	Facility		$138.74	$275.08	$6,347.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $174.81	Professional		$138.74	$138.74	$174.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $366.78 / $815.21 / $2,582.48	Facility		$366.78	$815.21	$2,582.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $154.38 / $162.10	Professional		$154.38	$154.38	$162.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Facility		$138.74	$138.74	$138.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $163.61	Professional		$138.74	$138.74	$163.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.94 / $176.20 / $348.47	Professional		$117.94	$176.20	$348.47
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 $180.36 / $180.36 / $180.36	Professional		$180.36	$180.36	$180.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.75 / $190.92 / $204.56	Professional		$137.75	$190.92	$204.56
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $152.11	Professional		$138.74	$138.74	$152.11