Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.79 / $193.79 / $193.79	Facility		$193.79	$193.79	$193.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $193.79 / $301.63	Professional		$154.66	$193.79	$301.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.97 / $761.27 / $3,244.11	Facility		$449.97	$761.27	$3,244.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.38 / $286.55 / $286.55	Professional		$250.38	$286.55	$286.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $391.88	Facility		$243.89	$243.89	$391.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $441.62	Professional		$178.04	$178.04	$441.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $315.16 / $396.52 / $484.59	Professional		$315.16	$396.52	$484.59
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 $490.15 / $490.15 / $490.15	Professional		$490.15	$490.15	$490.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.91 / $284.17 / $298.37	Professional		$198.91	$284.17	$298.37
United Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $188.10 / $330.27	Professional		$138.84	$188.10	$330.27