Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.71 / $210.71 / $210.71	Facility		$210.71	$210.71	$210.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.57 / $210.71 / $291.82	Professional		$145.57	$210.71	$291.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.72 / $828.52 / $3,527.28	Facility		$489.72	$828.52	$3,527.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.18 / $311.57 / $311.57	Professional		$208.18	$311.57	$311.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $355.93	Facility		$268.08	$268.08	$355.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $268.08 / $475.13	Professional		$195.70	$268.08	$475.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $320.87 / $409.96 / $498.71	Professional		$320.87	$409.96	$498.71
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 $532.95 / $532.95 / $532.95	Professional		$532.95	$532.95	$532.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.30 / $309.00 / $324.45	Professional		$216.30	$309.00	$324.45
United Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $198.14 / $362.15	Professional		$145.75	$198.14	$362.15