Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $416.87	Facility		$204.17	$204.17	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $346.74	Professional		$131.83	$204.17	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $2,818.38	Facility		$489.78	$794.33	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $346.74	Facility		$263.03	$263.03	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $407.38	Professional		$194.98	$194.98	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $512.86	Professional		$331.13	$407.38	$512.86
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 $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $309.03	Professional		$218.78	$218.78	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $331.13 / $501.19	Facility		$204.17	$331.13	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $302.00	Professional		$138.04	$204.17	$302.00