Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.13 / $250.63 / $538.00	Facility		$206.13	$250.63	$538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.13 / $207.13 / $226.74	Professional		$206.13	$207.13	$226.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.91 / $812.17 / $3,873.29	Facility		$532.91	$812.17	$3,873.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.22 / $262.26 / $262.26	Professional		$232.22	$262.26	$262.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $207.13 / $207.13	Facility		$207.13	$207.13	$207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $247.50	Professional		$207.13	$207.13	$247.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.86 / $289.98 / $501.88	Professional		$202.86	$289.98	$501.88
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 $269.27 / $269.27 / $269.27	Professional		$269.27	$269.27	$269.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $301.41	Professional		$30.00	$30.00	$301.41
United Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $207.00 / $207.00	Facility		$207.00	$207.00	$207.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $219.56 / $230.58	Professional		$207.13	$219.56	$230.58