Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $407.38	Facility		$204.17	$204.17	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $407.38	Professional		$186.21	$213.80	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $776.25 / $2,754.23	Facility		$478.63	$776.25	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $302.00	Professional		$269.15	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $269.15	Facility		$251.19	$251.19	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $467.74	Professional		$181.97	$181.97	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $562.34	Professional		$338.84	$457.09	$562.34
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 $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $302.00	Professional		$213.80	$213.80	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $323.59 / $660.69	Facility		$169.82	$323.59	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $338.84	Professional		$158.49	$199.53	$338.84