Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.74 / $129.74 / $231.02	Facility		$129.74	$129.74	$231.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $142.93 / $230.88	Professional		$107.75	$142.93	$230.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.20 / $729.51 / $2,647.47	Facility		$267.20	$729.51	$2,647.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $231.02 / $287.50	Professional		$180.49	$231.02	$287.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $236.98	Professional		$94.26	$94.26	$236.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $196.37 / $282.89 / $485.14	Professional		$196.37	$282.89	$485.14
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 $300.33 / $300.33 / $300.33	Professional		$300.33	$300.33	$300.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $314.19 / $323.43 / $346.53	Professional		$314.19	$323.43	$346.53
United Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $115.25 / $204.09	Professional		$81.64	$115.25	$204.09