Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.75 / $220.75 / $220.75	Facility		$220.75	$220.75	$220.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $220.75 / $343.60	Professional		$172.52	$220.75	$343.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.57 / $868.87 / $3,695.51	Facility		$513.57	$868.87	$3,695.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.82 / $326.42 / $326.42	Professional		$276.82	$326.42	$326.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $252.01 / $470.16	Facility		$252.01	$252.01	$470.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $252.01 / $498.00	Professional		$183.97	$252.01	$498.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $362.93 / $472.45 / $558.04	Professional		$362.93	$472.45	$558.04
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 $558.35 / $558.35 / $558.35	Professional		$558.35	$558.35	$558.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.60 / $323.72 / $339.90	Professional		$226.60	$323.72	$339.90
United Facility/Professional Professional Modifier Low / Median / High Price $159.51 / $214.27 / $379.41	Professional		$159.51	$214.27	$379.41