Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.59 / $194.59 / $378.59	Facility		$194.59	$194.59	$378.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $198.19 / $318.25	Professional		$172.39	$198.19	$318.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.15 / $766.65 / $3,257.49	Facility		$453.15	$766.65	$3,257.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.41 / $287.73 / $287.73	Professional		$251.41	$287.73	$287.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $416.45	Facility		$236.57	$236.57	$416.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $236.56 / $438.75	Professional		$172.70	$236.56	$438.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $321.80 / $466.65 / $591.75	Professional		$321.80	$466.65	$591.75
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 $492.17 / $492.17 / $492.17	Professional		$492.17	$492.17	$492.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.75 / $285.36 / $299.62	Professional		$199.75	$285.36	$299.62
United Facility/Professional Professional Modifier Low / Median / High Price $156.49 / $188.88 / $334.45	Professional		$156.49	$188.88	$334.45