Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.66 / $213.66 / $213.66	Facility		$213.66	$213.66	$213.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.77 / $230.09 / $381.88	Professional		$192.77	$230.09	$381.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.16 / $871.56 / $3,714.30	Facility		$515.16	$871.56	$3,714.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $538.22	Facility		$279.26	$279.26	$538.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $279.26 / $500.63	Professional		$203.86	$279.26	$500.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $366.93 / $535.28 / $654.33	Professional		$366.93	$535.28	$654.33
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 $561.17 / $561.17 / $561.17	Professional		$561.17	$561.17	$561.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.75 / $325.36 / $341.62	Professional		$227.75	$325.36	$341.62
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $215.36 / $379.16	Professional		$179.47	$215.36	$379.16