Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $398.11	Facility		$199.53	$199.53	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $398.11	Professional		$162.18	$199.53	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $758.58 / $2,691.53	Facility		$467.74	$758.58	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $295.12	Professional		$229.09	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $263.03	Facility		$229.09	$229.09	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $407.38	Professional		$165.96	$165.96	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $660.69	Professional		$331.13	$501.19	$660.69
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 $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $295.12	Professional		$208.93	$208.93	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $316.23 / $588.84	Facility		$151.36	$316.23	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $295.12	Professional		$147.91	$194.98	$295.12