Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.26 / $234.26 / $234.26	Facility		$234.26	$234.26	$234.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.76 / $234.26 / $334.61	Professional		$177.76	$234.26	$334.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.04 / $957.64 / $4,072.48	Facility		$566.04	$957.64	$4,072.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.71 / $359.71 / $359.71	Professional		$359.71	$359.71	$359.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $468.03	Facility		$306.16	$306.16	$468.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $306.16 / $548.63	Professional		$223.50	$306.16	$548.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $386.71 / $473.30 / $599.10	Professional		$386.71	$473.30	$599.10
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 $615.29 / $615.29 / $615.29	Professional		$615.29	$615.29	$615.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $267.19 / $381.70 / $400.78	Professional		$267.19	$381.70	$400.78
United Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $236.12 / $395.29	Professional		$166.32	$236.12	$395.29