Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.82 / $228.82 / $228.82	Facility		$228.82	$228.82	$228.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.43 / $228.82 / $291.47	Professional		$182.43	$228.82	$291.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.73 / $933.43 / $3,977.86	Facility		$551.73	$933.43	$3,977.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.36 / $351.36 / $365.41	Professional		$351.36	$351.36	$365.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $381.41	Facility		$232.98	$232.98	$381.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $232.98 / $535.88	Professional		$170.08	$232.98	$535.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $369.85 / $469.56 / $647.15	Professional		$369.85	$469.56	$647.15
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 $601.00 / $601.00 / $601.00	Professional		$601.00	$601.00	$601.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $260.99 / $372.85 / $391.49	Professional		$260.99	$372.85	$391.49
United Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $228.59 / $408.41	Professional		$159.94	$228.59	$408.41