Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.68 / $172.68 / $172.68	Facility		$172.68	$172.68	$172.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $172.68 / $252.79	Professional		$144.28	$172.68	$252.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.58 / $704.78 / $3,001.91	Facility		$416.58	$704.78	$3,001.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $265.16 / $265.16	Professional		$265.16	$265.16	$265.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $330.79	Facility		$225.68	$225.68	$330.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $225.68 / $404.63	Professional		$164.75	$225.68	$404.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $378.35 / $479.50	Professional		$296.56	$378.35	$479.50
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 $453.56 / $453.56 / $453.56	Professional		$453.56	$453.56	$453.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.61 / $303.73 / $318.91	Professional		$212.61	$303.73	$318.91
United Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $174.06 / $308.20	Professional		$134.15	$174.06	$308.20