Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.19 / $303.67 / $3,858.67	Facility		$154.19	$303.67	$3,858.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $207.60	Professional		$151.16	$151.16	$207.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.57 / $650.27 / $3,222.45	Facility		$425.57	$650.27	$3,222.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.25 / $179.25 / $215.10	Professional		$179.25	$179.25	$215.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Facility		$151.16	$151.16	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $178.26	Professional		$151.16	$151.16	$178.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $200.70 / $382.80	Professional		$128.49	$200.70	$382.80
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 $196.52 / $196.52 / $196.52	Professional		$196.52	$196.52	$196.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.15 / $221.66 / $237.50	Professional		$160.15	$221.66	$237.50
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $165.73	Professional		$151.16	$151.16	$165.73