Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $354.81	Facility		$169.82	$169.82	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $302.00	Professional		$112.20	$169.82	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $2,398.83	Facility		$416.87	$660.69	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $302.00	Professional		$263.03	$263.03	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $288.40	Facility		$162.18	$162.18	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $338.84	Professional		$117.49	$117.49	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $398.11	Professional		$257.04	$295.12	$398.11
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 $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $257.04	Professional		$181.97	$181.97	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $275.42 / $426.58	Facility		$169.82	$275.42	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $251.19	Professional		$114.82	$173.78	$251.19