Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.94 / $591.03 / $881.48	Facility		$276.94	$591.03	$881.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.17 / $276.94 / $429.26	Professional		$221.17	$276.94	$429.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.93 / $1,459.80 / $4,467.64	Facility		$455.93	$1,459.80	$4,467.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $260.05 / $513.35	Professional		$4.50	$260.05	$513.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.52 / $751.08 / $1,554.59	Facility		$219.52	$751.08	$1,554.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.27 / $405.28 / $570.02	Professional		$145.27	$405.28	$570.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $344.48 / $485.11 / $709.23	Professional		$344.48	$485.11	$709.23
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 $439.05 / $439.05 / $439.05	Professional		$439.05	$439.05	$439.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $459.31 / $506.60	Professional		$22.99	$459.31	$506.60
United Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $141.85 / $275.58	Professional		$71.23	$141.85	$275.58