Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.18 / $175.18 / $175.18	Facility		$175.18	$175.18	$175.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $175.18 / $272.66	Professional		$136.91	$175.18	$272.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.04 / $688.64 / $2,932.53	Facility		$407.04	$688.64	$2,932.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $373.07	Facility		$227.96	$227.96	$373.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $227.96 / $395.25	Professional		$166.41	$227.96	$395.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $306.74 / $421.73 / $514.91	Professional		$306.74	$421.73	$514.91
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 $443.07 / $443.07 / $443.07	Professional		$443.07	$443.07	$443.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.81 / $256.88 / $269.72	Professional		$179.81	$256.88	$269.72
United Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $170.03 / $291.89	Professional		$126.58	$170.03	$291.89