Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $227.30 / $395.30	Facility		$197.65	$227.30	$395.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $197.83 / $219.39	Professional		$197.65	$197.83	$219.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.40 / $777.84 / $3,709.58	Facility		$510.40	$777.84	$3,709.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.65 / $245.80 / $245.80	Professional		$217.65	$245.80	$245.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Facility		$197.83	$197.83	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $231.33	Professional		$197.83	$197.83	$231.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.93 / $274.27 / $510.48	Professional		$191.93	$274.27	$510.48
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 $257.18 / $257.18 / $257.18	Professional		$257.18	$257.18	$257.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.08 / $271.70 / $291.12	Professional		$194.08	$271.70	$291.12
United Facility/Professional Facility Modifier Low / Median / High Price $320.23 / $320.23 / $320.23	Facility		$320.23	$320.23	$320.23
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $208.20 / $221.57	Professional		$197.83	$208.20	$221.57