Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.95 / $234.95 / $234.95	Facility		$234.95	$234.95	$234.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $234.95 / $365.70	Professional		$191.65	$234.95	$365.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.96 / $925.36 / $3,933.25	Facility		$546.96	$925.36	$3,933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $483.63	Facility		$295.70	$295.70	$483.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $295.70 / $529.88	Professional		$215.87	$295.70	$529.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $388.55 / $506.06 / $622.91	Professional		$388.55	$506.06	$622.91
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 $594.26 / $594.26 / $594.26	Professional		$594.26	$594.26	$594.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.24 / $298.92 / $313.86	Professional		$209.24	$298.92	$313.86
United Facility/Professional Facility Modifier Low / Median / High Price $142.19 / $208.12 / $457.12	Facility		$142.19	$208.12	$457.12
United Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $228.06 / $475.13	Professional		$174.04	$228.06	$475.13