Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.53 / $254.53 / $254.53	Facility		$254.53	$254.53	$254.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.36 / $265.79 / $334.89	Professional		$210.36	$265.79	$334.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $797.32 / $1,361.52 / $4,261.03	Facility		$797.32	$1,361.52	$4,261.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.01 / $376.37 / $376.37	Professional		$295.01	$376.37	$376.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $542.11	Facility		$312.81	$312.81	$542.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $312.81 / $574.13	Professional		$228.35	$312.81	$574.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $420.95 / $556.50 / $685.00	Professional		$420.95	$556.50	$685.00
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 $643.79 / $643.79 / $643.79	Professional		$643.79	$643.79	$643.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.14 / $344.49 / $361.71	Professional		$241.14	$344.49	$361.71
United Facility/Professional Professional Modifier Low / Median / High Price $182.91 / $247.06 / $551.96	Professional		$182.91	$247.06	$551.96