Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.16 / $293.16 / $293.16	Facility		$293.16	$293.16	$293.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.15 / $293.16 / $456.30	Professional		$239.15	$293.16	$456.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $682.11 / $1,154.01 / $4,907.67	Facility		$682.11	$1,154.01	$4,907.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.77 / $433.49 / $433.49	Professional		$378.77	$433.49	$433.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $645.47	Facility		$379.04	$379.04	$645.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $667.74	Professional		$276.70	$276.70	$667.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $473.60 / $602.30 / $736.10	Professional		$473.60	$602.30	$736.10
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 $741.49 / $741.49 / $741.49	Professional		$741.49	$741.49	$741.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $321.99 / $459.99 / $482.98	Professional		$321.99	$459.99	$482.98
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $214.86 / $284.55 / $503.86	Professional		$214.86	$284.55	$503.86