Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $389.05 / $537.03	Facility		$263.03	$389.05	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $354.81	Professional		$257.04	$263.03	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $812.83 / $4,466.84	Facility		$389.05	$812.83	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $309.03	Professional		$269.15	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $302.00	Professional		$263.03	$263.03	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $524.81 / $812.83	Professional		$257.04	$524.81	$812.83
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 $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $380.19	Professional		$263.03	$354.81	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $407.38	Facility		$257.04	$257.04	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $269.15 / $288.40	Professional		$263.03	$269.15	$288.40