Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.42 / $236.42 / $236.42	Facility		$236.42	$236.42	$236.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.90 / $243.17 / $382.75	Professional		$188.90	$243.17	$382.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $570.80 / $965.71 / $4,110.05	Facility		$570.80	$965.71	$4,110.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.04 / $363.04 / $363.04	Professional		$363.04	$363.04	$363.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $515.02	Facility		$293.77	$293.77	$515.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $293.77 / $553.88	Professional		$214.45	$293.77	$553.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $406.03 / $525.45 / $668.75	Professional		$406.03	$525.45	$668.75
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 $620.98 / $620.98 / $620.98	Professional		$620.98	$620.98	$620.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.66 / $385.24 / $404.50	Professional		$269.66	$385.24	$404.50
United Facility/Professional Facility Modifier Low / Median / High Price $477.68 / $676.80 / $1,257.72	Facility		$477.68	$676.80	$1,257.72
United Facility/Professional Professional Modifier Low / Median / High Price $181.86 / $238.31 / $409.10	Professional		$181.86	$238.31	$409.10