Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.82 / $294.89 / $636.37	Facility		$243.82	$294.89	$636.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.82 / $295.02	Professional		$243.71	$243.82	$295.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $633.75 / $965.83 / $4,606.09	Facility		$633.75	$965.83	$4,606.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.67 / $305.68 / $310.00	Professional		$270.67	$305.68	$310.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $243.71 / $243.71	Facility		$243.71	$243.71	$243.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $288.73	Professional		$243.71	$243.71	$288.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $231.52 / $365.57 / $616.64	Professional		$231.52	$365.57	$616.64
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 $316.82 / $316.82 / $316.82	Professional		$316.82	$316.82	$316.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.14 / $336.20 / $360.21	Professional		$240.14	$336.20	$360.21
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $258.33 / $282.48	Professional		$243.71	$258.33	$282.48