Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.10 / $231.10 / $231.10	Facility		$231.10	$231.10	$231.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $231.10 / $359.71	Professional		$184.51	$231.10	$359.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.41 / $909.22 / $3,868.79	Facility		$537.41	$909.22	$3,868.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.83 / $341.73 / $341.73	Professional		$278.83	$341.73	$341.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $484.40	Facility		$253.20	$253.20	$484.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $253.20 / $521.25	Professional		$184.84	$253.20	$521.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $382.19 / $514.90 / $629.50	Professional		$382.19	$514.90	$629.50
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 $584.53 / $584.53 / $584.53	Professional		$584.53	$584.53	$584.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $253.83 / $362.62 / $380.75	Professional		$253.83	$362.62	$380.75
United Facility/Professional Professional Modifier Low / Median / High Price $168.47 / $224.32 / $361.00	Professional		$168.47	$224.32	$361.00