Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $346.74	Facility		$173.78	$173.78	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $346.74	Professional		$173.78	$190.55	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $660.69 / $2,344.23	Facility		$407.38	$660.69	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $229.09	Facility		$218.78	$218.78	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $371.54	Professional		$158.49	$158.49	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $467.74	Professional		$288.40	$371.54	$467.74
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 $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $257.04	Professional		$177.83	$177.83	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $269.15 / $549.54	Facility		$141.25	$269.15	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $281.84	Professional		$131.83	$169.82	$281.84