Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.27 / $215.27 / $215.27	Facility		$215.27	$215.27	$215.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.23 / $231.83 / $365.62	Professional		$194.23	$231.83	$365.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.92 / $879.63 / $3,742.24	Facility		$519.92	$879.63	$3,742.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.55 / $330.55 / $330.55	Professional		$330.55	$330.55	$330.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $478.43	Facility		$271.77	$271.77	$478.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $271.77 / $504.38	Professional		$198.39	$271.77	$504.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $369.70 / $506.58 / $618.40	Professional		$369.70	$506.58	$618.40
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 $565.41 / $565.41 / $565.41	Professional		$565.41	$565.41	$565.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.46 / $327.81 / $344.20	Professional		$229.46	$327.81	$344.20
United Facility/Professional Professional Modifier Low / Median / High Price $194.02 / $216.98 / $372.49	Professional		$194.02	$216.98	$372.49