Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.11 / $378.85 / $698.87	Facility		$261.11	$378.85	$698.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.66 / $370.00 / $595.70	Professional		$288.66	$370.00	$595.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.66 / $332.66 / $332.66	Professional		$332.66	$332.66	$332.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $433.13 / $578.87	Professional		$312.89	$433.13	$578.87
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 $406.77 / $406.77 / $406.77	Professional		$406.77	$406.77	$406.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $328.54	Professional		$30.00	$30.00	$328.54
United Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $324.02 / $342.90	Professional		$274.60	$324.02	$342.90