Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.56 / $217.56 / $217.56	Facility		$217.56	$217.56	$217.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.18 / $228.59 / $399.99	Professional		$174.18	$228.59	$399.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.70 / $887.70 / $3,782.04	Facility		$524.70	$887.70	$3,782.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.07 / $334.07 / $334.07	Professional		$334.07	$334.07	$334.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $446.70	Facility		$305.27	$305.27	$446.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $305.27 / $509.63	Professional		$222.85	$305.27	$509.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $373.63 / $488.56 / $615.38	Professional		$373.63	$488.56	$615.38
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 $571.42 / $571.42 / $571.42	Professional		$571.42	$571.42	$571.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.91 / $331.30 / $347.86	Professional		$231.91	$331.30	$347.86
United Facility/Professional Professional Modifier Low / Median / High Price $159.30 / $219.29 / $376.44	Professional		$159.30	$219.29	$376.44