Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.63 / $241.63 / $770.09	Facility		$241.63	$241.63	$770.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.86 / $241.63 / $326.67	Professional		$169.86	$241.63	$326.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.27 / $949.57 / $4,045.01	Facility		$561.27	$949.57	$4,045.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.10 / $357.29 / $357.29	Professional		$257.10	$357.29	$357.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $291.02 / $484.06	Facility		$291.02	$291.02	$484.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $291.02 / $544.88	Professional		$212.45	$291.02	$544.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $399.60 / $517.13 / $645.27	Professional		$399.60	$517.13	$645.27
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 $611.16 / $611.16 / $611.16	Professional		$611.16	$611.16	$611.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.03 / $354.34 / $372.05	Professional		$248.03	$354.34	$372.05
United Facility/Professional Facility Modifier Low / Median / High Price $126.04 / $184.46 / $470.12	Facility		$126.04	$184.46	$470.12
United Facility/Professional Professional Modifier Low / Median / High Price $155.10 / $232.45 / $402.63	Professional		$155.10	$232.45	$402.63