Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.64 / $238.64 / $238.64	Facility		$238.64	$238.64	$238.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.58 / $257.00 / $365.77	Professional		$227.58	$257.00	$365.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.58 / $973.78 / $4,148.56	Facility		$575.58	$973.78	$4,148.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.43 / $366.43 / $366.43	Professional		$366.43	$366.43	$366.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $481.49	Facility		$274.54	$274.54	$481.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $564.72	Professional		$200.41	$200.41	$564.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $409.83 / $625.12 / $751.57	Professional		$409.83	$625.12	$751.57
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 $626.79 / $626.79 / $626.79	Professional		$626.79	$626.79	$626.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $388.84 / $408.28	Professional		$272.18	$388.84	$408.28
United Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $240.54 / $422.35	Professional		$180.90	$240.54	$422.35