Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $380.19	Facility		$181.97	$181.97	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $380.19	Professional		$177.83	$199.53	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $724.44 / $2,570.40	Facility		$446.68	$724.44	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $549.54	Facility		$239.88	$239.88	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $426.58	Professional		$173.78	$173.78	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $537.03	Professional		$316.23	$436.52	$537.03
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 $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $281.84	Professional		$194.98	$194.98	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $295.12 / $602.56	Facility		$245.47	$295.12	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $316.23	Professional		$154.88	$186.21	$316.23