Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.32 / $182.18 / $525.00	Facility		$164.32	$182.18	$525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $191.29	Professional		$182.18	$182.18	$191.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.72 / $1,454.73 / $3,672.54	Facility		$409.72	$1,454.73	$3,672.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.24 / $206.24 / $247.49	Professional		$206.24	$206.24	$247.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $214.84	Professional		$182.18	$182.18	$214.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.85 / $231.37 / $464.74	Professional		$154.85	$231.37	$464.74
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 $236.83 / $236.83 / $236.83	Professional		$236.83	$236.83	$236.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.76 / $255.05 / $273.27	Professional		$247.76	$255.05	$273.27
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $199.73	Professional		$182.18	$182.18	$199.73