Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $426.58	Facility		$208.93	$208.93	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $426.58	Professional		$186.21	$223.87	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $2,884.03	Facility		$512.86	$812.83	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $371.54	Professional		$323.59	$323.59	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $457.09	Facility		$275.42	$275.42	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $446.68	Professional		$199.53	$199.53	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $676.08	Professional		$354.81	$562.34	$676.08
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 $257.04 / $257.04 / $371.54	Professional		$257.04	$257.04	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $630.96	Facility		$257.04	$338.84	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $346.74	Professional		$162.18	$208.93	$346.74