Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.13 / $177.13 / $177.13	Facility		$177.13	$177.13	$177.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $190.75 / $280.50	Professional		$149.02	$190.75	$280.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.71 / $723.61 / $3,079.28	Facility		$427.71	$723.61	$3,079.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.99 / $271.99 / $306.20	Professional		$271.99	$271.99	$306.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $373.67	Facility		$209.59	$209.59	$373.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $209.59 / $414.75	Professional		$153.00	$209.59	$414.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $322.08 / $414.64 / $514.36	Professional		$322.08	$414.64	$514.36
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 $465.24 / $465.24 / $465.24	Professional		$465.24	$465.24	$465.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.03 / $288.62 / $303.05	Professional		$202.03	$288.62	$303.05
United Facility/Professional Facility Modifier Low / Median / High Price $219.98 / $232.55 / $357.88	Facility		$219.98	$232.55	$357.88
United Facility/Professional Professional Modifier Low / Median / High Price $139.43 / $178.54 / $316.14	Professional		$139.43	$178.54	$316.14