Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.31 / $213.31 / $213.31	Facility		$213.31	$213.31	$213.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.23 / $213.31 / $300.85	Professional		$169.23	$213.31	$300.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.16 / $871.56 / $3,708.19	Facility		$515.16	$871.56	$3,708.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.54 / $327.54 / $327.54	Professional		$327.54	$327.54	$327.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $407.03	Facility		$297.81	$297.81	$407.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $297.81 / $499.50	Professional		$217.40	$297.81	$499.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $405.30 / $495.63	Professional		$344.78	$405.30	$495.63
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 $560.27 / $560.27 / $560.27	Professional		$560.27	$560.27	$560.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.38 / $324.83 / $341.08	Professional		$227.38	$324.83	$341.08
United Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $215.01 / $380.72	Professional		$161.38	$215.01	$380.72