Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.18 / $197.18 / $197.18	Facility		$197.18	$197.18	$197.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $197.18 / $278.47	Professional		$127.93	$197.18	$278.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.92 / $774.72 / $3,300.93	Facility		$457.92	$774.72	$3,300.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $398.77	Facility		$225.30	$225.30	$398.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $225.30 / $444.75	Professional		$164.47	$225.30	$444.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.08 / $457.72 / $566.52	Professional		$326.08	$457.72	$566.52
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 $498.73 / $498.73 / $498.73	Professional		$498.73	$498.73	$498.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.41 / $289.17 / $303.62	Professional		$202.41	$289.17	$303.62
United Facility/Professional Facility Modifier Low / Median / High Price $383.64 / $460.37 / $855.52	Facility		$383.64	$460.37	$855.52
United Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $191.39 / $358.86	Professional		$120.22	$191.39	$358.86