Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.16 / $229.16 / $229.16	Facility		$229.16	$229.16	$229.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.94 / $241.50 / $407.77	Professional		$192.94	$241.50	$407.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $553.32 / $936.12 / $3,983.73	Facility		$553.32	$936.12	$3,983.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.88 / $351.88 / $351.88	Professional		$351.88	$351.88	$351.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $574.71	Facility		$299.52	$299.52	$574.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $299.52 / $536.63	Professional		$218.65	$299.52	$536.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.55 / $517.17 / $648.20	Professional		$393.55	$517.17	$648.20
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 $601.90 / $601.90 / $601.90	Professional		$601.90	$601.90	$601.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.28 / $348.98 / $366.42	Professional		$244.28	$348.98	$366.42
United Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $653.39 / $1,214.21	Facility		$463.00	$653.39	$1,214.21
United Facility/Professional Professional Modifier Low / Median / High Price $176.28 / $230.99 / $405.59	Professional		$176.28	$230.99	$405.59