Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $249.65 / $401.62	Facility		$217.09	$249.65	$401.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $238.80	Professional		$217.09	$217.09	$238.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.63 / $325.63 / $325.63	Facility		$325.63	$325.63	$325.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $243.17 / $276.00	Professional		$243.17	$243.17	$276.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Facility		$217.09	$217.09	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $251.88	Professional		$217.09	$217.09	$251.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $206.24 / $325.64 / $709.78	Professional		$206.24	$325.64	$709.78
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 $282.22 / $282.22 / $282.22	Professional		$282.22	$282.22	$282.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $300.66 / $322.14	Professional		$214.76	$300.66	$322.14
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $229.59 / $243.14	Professional		$217.09	$229.59	$243.14