Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $457.09	Facility		$218.78	$218.78	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $436.52	Professional		$190.55	$229.09	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $870.96 / $3,090.30	Facility		$537.03	$870.96	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $501.19	Facility		$288.40	$288.40	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $489.78	Professional		$208.93	$208.93	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $660.69	Professional		$380.19	$549.54	$660.69
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 $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $389.05	Professional		$269.15	$269.15	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $354.81 / $645.65	Facility		$263.03	$354.81	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $346.74	Professional		$169.82	$223.87	$346.74