Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.34 / $250.34 / $250.34	Facility		$250.34	$250.34	$250.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $250.34 / $382.40	Professional		$187.02	$250.34	$382.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $604.20 / $1,022.20 / $4,351.89	Facility		$604.20	$1,022.20	$4,351.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.40 / $384.40 / $384.40	Professional		$384.40	$384.40	$384.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $538.92	Facility		$327.20	$327.20	$538.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $327.20 / $586.50	Professional		$238.86	$327.20	$586.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $455.21 / $628.79 / $769.80	Professional		$455.21	$628.79	$769.80
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 $657.53 / $657.53 / $657.53	Professional		$657.53	$657.53	$657.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.86 / $381.23 / $400.29	Professional		$266.86	$381.23	$400.29
United Facility/Professional Facility Modifier Low / Median / High Price $276.08 / $291.86 / $505.79	Facility		$276.08	$291.86	$505.79
United Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $252.34 / $475.88	Professional		$188.65	$252.34	$475.88