Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.03 / $195.03 / $279.72	Facility		$195.03	$195.03	$279.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.77 / $227.90 / $331.55	Professional		$172.77	$227.90	$331.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.15 / $766.65 / $3,264.77	Facility		$453.15	$766.65	$3,264.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $288.37 / $288.37	Professional		$242.71	$288.37	$288.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $502.35	Facility		$225.12	$237.10	$502.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $225.12 / $439.88	Professional		$173.08	$225.12	$439.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $322.52 / $442.92 / $569.35	Professional		$322.52	$442.92	$569.35
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 $493.27 / $493.27 / $493.27	Professional		$493.27	$493.27	$493.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.19 / $285.99 / $300.28	Professional		$200.19	$285.99	$300.28
United Facility/Professional Professional Modifier Low / Median / High Price $157.75 / $189.30 / $394.38	Professional		$157.75	$189.30	$394.38