Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $426.58	Facility		$208.93	$208.93	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $354.81	Professional		$169.82	$213.80	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $5,370.32	Facility		$512.86	$691.83	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $426.58	Professional		$323.59	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $478.63	Facility		$275.42	$275.42	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $467.74	Professional		$204.17	$204.17	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $489.78	Professional		$354.81	$407.38	$489.78
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 $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $288.40	Professional		$204.17	$204.17	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $338.84 / $616.60	Facility		$251.19	$338.84	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $346.74	Professional		$162.18	$208.93	$346.74