Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $257.04	Facility		$154.88	$154.88	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $263.03	Professional		$154.88	$173.78	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $616.60 / $3,019.95	Facility		$457.09	$616.60	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $190.55	Professional		$165.96	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Facility		$309.03	$309.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $331.13	Professional		$229.09	$229.09	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $457.09 / $602.56	Professional		$251.19	$457.09	$602.56
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 $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $281.84	Professional		$194.98	$194.98	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $199.53 / $630.96	Facility		$181.97	$199.53	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $354.81	Professional		$151.36	$229.09	$354.81