Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.96 / $225.96 / $363.76	Facility		$225.96	$225.96	$363.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.42 / $225.96 / $291.01	Professional		$203.42	$225.96	$291.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.20 / $872.08 / $3,148.23	Facility		$483.20	$872.08	$3,148.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.35 / $236.49 / $287.58	Professional		$214.35	$236.49	$287.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.91 / $298.55 / $388.26	Professional		$217.91	$298.55	$388.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $170.50 / $248.00 / $489.80	Professional		$170.50	$248.00	$489.80
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 $199.65 / $201.50 / $216.67	Professional		$199.65	$201.50	$216.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $295.83 / $535.75	Professional		$220.51	$295.83	$535.75