Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $371.54 / $398.11	Facility		$338.84	$371.54	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $588.84	Professional		$173.78	$229.09	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $851.14 / $1,000.00	Facility		$489.78	$851.14	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $331.13	Professional		$239.88	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $512.86	Professional		$218.78	$316.23	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $851.14 / $1,000.00	Professional		$239.88	$851.14	$1,000.00
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 $275.42 / $288.40 / $302.00	Professional		$275.42	$288.40	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $416.87	Professional		$213.80	$281.84	$416.87