Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $346.74	Facility		$177.83	$177.83	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $309.03	Professional		$144.54	$177.83	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $2,344.23	Facility		$416.87	$660.69	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $263.03	Professional		$229.09	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $229.09	Facility		$190.55	$190.55	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $346.74	Professional		$138.04	$138.04	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $436.52	Professional		$263.03	$346.74	$436.52
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 $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $275.42	Professional		$194.98	$194.98	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $275.42 / $501.19	Facility		$128.82	$275.42	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $257.04	Professional		$125.89	$169.82	$257.04