Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.45 / $294.45 / $294.45	Facility		$294.45	$294.45	$294.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.29 / $294.45 / $458.30	Professional		$232.29	$294.45	$458.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $685.29 / $1,159.39 / $4,929.14	Facility		$685.29	$1,159.39	$4,929.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $614.27	Facility		$347.46	$347.46	$614.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $347.46 / $664.13	Professional		$253.65	$347.46	$664.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $486.95 / $710.37 / $890.25	Professional		$486.95	$710.37	$890.25
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 $744.74 / $744.74 / $744.74	Professional		$744.74	$744.74	$744.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $374.61 / $393.34	Professional		$262.22	$374.61	$393.34
United Facility/Professional Professional Modifier Low / Median / High Price $214.69 / $285.80 / $506.08	Professional		$214.69	$285.80	$506.08