Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $287.27 / $369.18	Facility		$261.14	$287.27	$369.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.56 / $288.63 / $490.00	Professional		$253.56	$288.63	$490.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $998.28 / $2,135.36 / $4,276.05	Facility		$998.28	$2,135.36	$4,276.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.64 / $277.64 / $277.64	Professional		$277.64	$277.64	$277.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Facility		$269.49	$269.49	$269.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Professional		$269.49	$269.49	$269.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $355.16 / $522.29	Professional		$261.14	$355.16	$522.29
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 $339.50 / $339.50 / $339.50	Professional		$339.50	$339.50	$339.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $274.20	Professional		$30.00	$30.00	$274.20
United Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $286.31 / $288.74	Professional		$240.62	$286.31	$288.74