Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.97 / $235.97 / $235.97	Facility		$235.97	$235.97	$235.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $240.00 / $344.96	Professional		$181.43	$240.00	$344.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $569.22 / $963.02 / $4,102.07	Facility		$569.22	$963.02	$4,102.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $362.33 / $362.33	Professional		$362.33	$362.33	$362.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $446.89	Facility		$280.67	$280.67	$446.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $280.67 / $552.75	Professional		$204.89	$280.67	$552.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $405.24 / $524.42 / $667.45	Professional		$405.24	$524.42	$667.45
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 $619.78 / $619.78 / $619.78	Professional		$619.78	$619.78	$619.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.53 / $359.33 / $377.29	Professional		$251.53	$359.33	$377.29
United Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $237.85 / $421.16	Professional		$169.75	$237.85	$421.16