Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.65 / $224.37 / $396.40	Facility		$188.65	$224.37	$396.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $188.76 / $209.71	Professional		$188.65	$188.76	$209.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.37 / $698.56 / $3,331.46	Facility		$458.37	$698.56	$3,331.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.45 / $229.76 / $240.00	Professional		$203.45	$229.76	$240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $188.76 / $188.76	Facility		$188.76	$188.76	$188.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $188.76 / $222.02	Professional		$188.76	$188.76	$222.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.06 / $283.14 / $475.22	Professional		$180.06	$283.14	$475.22
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 $245.39 / $245.39 / $245.39	Professional		$245.39	$245.39	$245.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $264.11 / $282.98	Professional		$188.65	$264.11	$282.98
United Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $199.62 / $210.13	Professional		$188.65	$199.62	$210.13