Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.42 / $542.84 / $774.54	Facility		$271.42	$542.84	$774.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.87 / $271.42 / $420.70	Professional		$254.87	$271.42	$420.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.85 / $1,430.74 / $4,378.66	Facility		$446.85	$1,430.74	$4,378.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $254.87 / $503.12	Professional		$4.50	$254.87	$503.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.79 / $735.84 / $1,523.32	Facility		$286.79	$735.84	$1,523.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $397.20 / $558.54	Professional		$161.44	$397.20	$558.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $337.62 / $479.95 / $695.10	Professional		$337.62	$479.95	$695.10
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 $430.30 / $430.30 / $430.30	Professional		$430.30	$430.30	$430.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $450.16 / $496.50	Professional		$22.99	$450.16	$496.50
United Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $139.02 / $281.68	Professional		$101.54	$139.02	$281.68