Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.74 / $134.88 / $277.12	Facility		$127.74	$134.88	$277.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $140.28	Professional		$134.88	$134.88	$140.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.07 / $574.64 / $2,847.63	Facility		$376.07	$574.64	$2,847.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.66 / $180.00 / $345.40	Professional		$114.66	$180.00	$345.40
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 $175.36 / $175.36 / $175.36	Professional		$175.36	$175.36	$175.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $191.07 / $204.72	Professional		$128.15	$191.07	$204.72
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $139.91	Professional		$134.88	$134.88	$139.91