Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $238.54 / $238.54	Facility		$238.54	$238.54	$238.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.13 / $256.89 / $366.81	Professional		$217.13	$256.89	$366.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.58 / $973.78 / $4,146.92	Facility		$575.58	$973.78	$4,146.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.30 / $366.30 / $366.30	Professional		$366.30	$366.30	$366.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $480.00	Facility		$311.77	$311.77	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $311.77 / $558.75	Professional		$227.60	$311.77	$558.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $409.67 / $537.05 / $674.76	Professional		$409.67	$537.05	$674.76
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 $626.55 / $626.55 / $626.55	Professional		$626.55	$626.55	$626.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.07 / $388.68 / $408.11	Professional		$272.07	$388.68	$408.11
United Facility/Professional Professional Modifier Low / Median / High Price $181.41 / $240.44 / $412.76	Professional		$181.41	$240.44	$412.76