Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.17 / $201.17 / $201.17	Facility		$201.17	$201.17	$201.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $201.93 / $336.73	Professional		$151.57	$201.93	$336.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.95 / $820.45 / $3,497.11	Facility		$484.95	$820.45	$3,497.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $379.57	Facility		$244.07	$244.07	$379.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $244.07 / $471.38	Professional		$178.17	$244.07	$471.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $406.45 / $503.70	Professional		$334.68	$406.45	$503.70
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 $528.39 / $528.39 / $528.39	Professional		$528.39	$528.39	$528.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.44 / $306.35 / $321.66	Professional		$214.44	$306.35	$321.66
United Facility/Professional Facility Modifier Low / Median / High Price $406.45 / $537.91 / $999.62	Facility		$406.45	$537.91	$999.62
United Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $202.77 / $348.09	Professional		$140.47	$202.77	$348.09