Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.19 / $201.19 / $201.19	Facility		$201.19	$201.19	$201.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.04 / $201.19 / $306.89	Professional		$163.04	$201.19	$306.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.95 / $820.45 / $3,497.46	Facility		$484.95	$820.45	$3,497.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.93 / $308.93 / $308.93	Professional		$308.93	$308.93	$308.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $274.64 / $431.79	Facility		$274.64	$274.64	$431.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $274.64 / $471.38	Professional		$200.49	$274.64	$471.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.52 / $481.40 / $587.66	Professional		$345.52	$481.40	$587.66
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 $528.44 / $528.44 / $528.44	Professional		$528.44	$528.44	$528.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.46 / $306.38 / $321.69	Professional		$214.46	$306.38	$321.69
United Facility/Professional Professional Modifier Low / Median / High Price $151.79 / $202.79 / $359.09	Professional		$151.79	$202.79	$359.09