Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.04 / $250.04 / $250.04	Facility		$250.04	$250.04	$250.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.02 / $250.04 / $372.90	Professional		$186.02	$250.04	$372.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $581.94 / $984.54 / $4,185.77	Facility		$581.94	$984.54	$4,185.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.92 / $369.72 / $369.72	Professional		$277.92	$369.72	$369.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $504.50	Facility		$273.20	$273.20	$504.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $273.20 / $564.00	Professional		$199.44	$273.20	$564.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.18 / $510.80 / $616.50	Professional		$389.18	$510.80	$616.50
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 $632.41 / $632.41 / $632.41	Professional		$632.41	$632.41	$632.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.63 / $392.33 / $411.94	Professional		$274.63	$392.33	$411.94
United Facility/Professional Professional Modifier Low / Median / High Price $171.90 / $242.70 / $429.75	Professional		$171.90	$242.70	$429.75