Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $380.19	Facility		$181.97	$181.97	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $363.08	Professional		$158.49	$190.55	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $724.44 / $2,570.40	Facility		$446.68	$724.44	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $416.87	Facility		$239.88	$239.88	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $407.38	Professional		$173.78	$173.78	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $537.03	Professional		$331.13	$426.58	$537.03
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 $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $323.59	Professional		$223.87	$223.87	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $537.03	Facility		$218.78	$295.12	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $288.40	Professional		$141.25	$186.21	$288.40