Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.46 / $183.46 / $183.46	Facility		$183.46	$183.46	$183.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $195.06 / $361.23	Professional		$165.53	$195.06	$361.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.61 / $750.51 / $3,189.28	Facility		$443.61	$750.51	$3,189.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.72 / $281.72 / $281.72	Professional		$281.72	$281.72	$281.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $543.65	Facility		$239.78	$239.78	$543.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $239.78 / $429.75	Professional		$175.04	$239.78	$429.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $344.69 / $439.93 / $526.03	Professional		$344.69	$439.93	$526.03
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 $481.88 / $481.88 / $481.88	Professional		$481.88	$481.88	$481.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.57 / $279.39 / $293.35	Professional		$195.57	$279.39	$293.35
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $184.93 / $327.45	Professional		$154.11	$184.93	$327.45