Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.64 / $199.64 / $199.64	Facility		$199.64	$199.64	$199.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $199.64 / $302.01	Professional		$158.76	$199.64	$302.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.77 / $815.07 / $3,470.69	Facility		$481.77	$815.07	$3,470.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.55 / $306.55 / $306.55	Professional		$306.55	$306.55	$306.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $392.70	Facility		$271.68	$271.68	$392.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $271.68 / $467.63	Professional		$198.33	$271.68	$467.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.86 / $417.41 / $531.45	Professional		$342.86	$417.41	$531.45
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 $524.37 / $524.37 / $524.37	Professional		$524.37	$524.37	$524.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.71 / $325.30 / $341.56	Professional		$227.71	$325.30	$341.56
United Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $201.23 / $356.33	Professional		$140.34	$201.23	$356.33