Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.42 / $198.42 / $198.42	Facility		$198.42	$198.42	$198.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.06 / $204.40 / $272.24	Professional		$168.06	$204.40	$272.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $819.54 / $819.54 / $819.54	Facility		$819.54	$819.54	$819.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.42 / $213.03 / $219.23	Professional		$198.42	$213.03	$219.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $234.54	Facility		$234.54	$234.54	$234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.68 / $330.20 / $570.58	Professional		$223.68	$330.20	$570.58
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 $245.91 / $257.95 / $276.94	Professional		$245.91	$257.95	$276.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $313.14	Professional		$32.34	$32.34	$313.14
United Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $257.24 / $421.18	Professional		$191.96	$257.24	$421.18