Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $436.52	Facility		$208.93	$208.93	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $436.52	Professional		$181.97	$223.87	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $831.76 / $2,951.21	Facility		$512.86	$831.76	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $549.54	Facility		$275.42	$275.42	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $489.78	Professional		$199.53	$199.53	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $616.60	Professional		$363.08	$478.63	$616.60
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 $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $316.23	Professional		$223.87	$223.87	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $338.84 / $676.08	Facility		$275.42	$338.84	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $354.81	Professional		$173.78	$213.80	$354.81