Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.15 / $215.15 / $215.15	Facility		$215.15	$215.15	$215.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $231.70 / $365.41	Professional		$195.50	$231.70	$365.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.92 / $879.63 / $3,740.24	Facility		$519.92	$879.63	$3,740.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.37 / $330.37 / $343.58	Professional		$330.37	$330.37	$343.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $281.20 / $478.17	Facility		$281.20	$281.20	$478.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $281.20 / $504.00	Professional		$205.28	$281.20	$504.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $369.50 / $506.58 / $624.66	Professional		$369.50	$506.58	$624.66
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 $565.11 / $565.11 / $565.11	Professional		$565.11	$565.11	$565.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.34 / $327.64 / $344.02	Professional		$229.34	$327.64	$344.02
United Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $216.86 / $384.01	Professional		$180.72	$216.86	$384.01