Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.19 / $198.19 / $198.19	Facility		$198.19	$198.19	$198.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $198.19 / $260.83	Professional		$150.54	$198.19	$260.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $461.10 / $780.10 / $3,317.84	Facility		$461.10	$780.10	$3,317.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $424.16	Facility		$180.71	$180.71	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $447.00	Professional		$131.91	$180.71	$447.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.39 / $424.16 / $497.25	Professional		$323.39	$424.16	$497.25
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 $501.28 / $501.28 / $501.28	Professional		$501.28	$501.28	$501.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.44 / $290.64 / $305.17	Professional		$203.44	$290.64	$305.17
United Facility/Professional Professional Modifier Low / Median / High Price $130.27 / $192.37 / $340.64	Professional		$130.27	$192.37	$340.64