Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.79 / $188.79 / $188.79	Facility		$188.79	$188.79	$188.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.78 / $217.83 / $320.63	Professional		$188.78	$217.83	$320.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.33 / $772.03 / $3,281.91	Facility		$456.33	$772.03	$3,281.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.89 / $289.89 / $289.89	Professional		$289.89	$289.89	$289.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $419.57	Facility		$248.05	$248.05	$419.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $248.05 / $442.13	Professional		$181.08	$248.05	$442.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $343.29 / $452.80 / $572.15	Professional		$343.29	$452.80	$572.15
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 $495.86 / $495.86 / $495.86	Professional		$495.86	$495.86	$495.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $201.25 / $287.50 / $301.87	Professional		$201.25	$287.50	$301.87
United Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $190.30 / $326.67	Professional		$159.38	$190.30	$326.67