Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.37 / $227.37 / $442.37	Facility		$227.37	$227.37	$442.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.48 / $240.00 / $352.42	Professional		$213.48	$240.00	$352.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.88 / $893.08 / $3,806.22	Facility		$527.88	$893.08	$3,806.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $336.20 / $336.20	Professional		$280.80	$336.20	$336.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.99 / $345.03 / $515.72	Facility		$296.99	$345.03	$515.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $345.03 / $513.00	Professional		$251.87	$345.03	$513.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $530.84 / $663.56	Professional		$376.01	$530.84	$663.56
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 $575.08 / $575.08 / $575.08	Professional		$575.08	$575.08	$575.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.73 / $255.31 / $374.59	Professional		$249.73	$255.31	$374.59
United Facility/Professional Professional Modifier Low / Median / High Price $183.91 / $220.69 / $387.51	Professional		$183.91	$220.69	$387.51