Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $468.98	Facility		$161.62	$161.62	$468.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $169.71	Professional		$161.62	$161.62	$169.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.47 / $885.43 / $4,387.78	Facility		$579.47	$885.43	$4,387.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Facility		$161.62	$161.62	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $213.47	Professional		$161.62	$161.62	$213.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $171.81 / $345.40	Professional		$137.38	$171.81	$345.40
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 $210.11 / $210.11 / $210.11	Professional		$210.11	$210.11	$210.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $248.31	Professional		$30.00	$40.00	$248.31
United Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $177.19	Professional		$161.62	$161.62	$177.19