Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $308.33 / $515.28	Facility		$255.09	$308.33	$515.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $256.08 / $281.70	Professional		$255.09	$256.08	$281.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.20 / $945.18 / $4,507.60	Facility		$620.20	$945.18	$4,507.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $306.01 / $306.01	Professional		$270.95	$306.01	$306.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Facility		$256.08	$256.08	$256.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $299.45	Professional		$256.08	$256.08	$299.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.93 / $358.53 / $730.05	Professional		$245.93	$358.53	$730.05
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 $332.92 / $332.92 / $332.92	Professional		$332.92	$332.92	$332.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.02 / $348.63 / $373.53	Professional		$249.02	$348.63	$373.53
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $271.45 / $302.19	Professional		$256.08	$271.45	$302.19