Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.12 / $183.12 / $183.12	Facility		$183.12	$183.12	$183.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.27 / $183.12 / $303.57	Professional		$161.27	$183.12	$303.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.02 / $747.82 / $3,183.41	Facility		$442.02	$747.82	$3,183.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.19 / $281.19 / $281.19	Professional		$281.19	$281.19	$281.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $404.99	Facility		$239.35	$239.35	$404.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $454.74	Professional		$174.73	$174.73	$454.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $425.49 / $517.99	Professional		$345.40	$425.49	$517.99
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 $480.99 / $480.99 / $480.99	Professional		$480.99	$480.99	$480.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $322.08 / $338.19	Professional		$225.46	$322.08	$338.19
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $184.58 / $326.83	Professional		$140.86	$184.58	$326.83