Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.78 / $373.13 / $398.83	Facility		$336.78	$373.13	$398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.86 / $207.37 / $341.65	Professional		$170.86	$207.37	$341.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $491.41 / $1,001.12 / $1,001.12	Facility		$491.41	$1,001.12	$1,001.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.94 / $329.82 / $332.66	Professional		$252.94	$329.82	$332.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $264.67	Facility		$264.67	$264.67	$264.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.45 / $316.55 / $457.78	Professional		$222.45	$316.55	$457.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $246.20 / $351.72 / $974.35	Professional		$246.20	$351.72	$974.35
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 $275.24 / $286.55 / $304.82	Professional		$275.24	$286.55	$304.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $318.89	Professional		$32.34	$32.34	$318.89
United Facility/Professional Professional Modifier Low / Median / High Price $219.66 / $306.33 / $461.33	Professional		$219.66	$306.33	$461.33