Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $318.54 / $554.26	Facility		$212.36	$318.54	$554.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $213.84 / $257.39	Professional		$212.36	$213.84	$257.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.79 / $892.04 / $4,420.53	Facility		$583.79	$892.04	$4,420.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Facility		$213.84	$213.84	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $235.22 / $439.61	Professional		$181.76	$235.22	$439.61
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 $277.99 / $277.99 / $277.99	Professional		$277.99	$277.99	$277.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $220.26	Professional		$213.84	$213.84	$220.26