Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.40 / $254.40 / $254.40	Facility		$254.40	$254.40	$254.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.09 / $254.40 / $355.22	Professional		$162.09	$254.40	$355.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.48 / $1,000.68 / $4,258.68	Facility		$591.48	$1,000.68	$4,258.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.01 / $376.17 / $376.17	Professional		$261.01	$376.17	$376.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $433.24	Facility		$246.11	$246.11	$433.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $246.10 / $573.75	Professional		$179.66	$246.10	$573.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.40 / $461.16 / $580.49	Professional		$331.40	$461.16	$580.49
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 $643.45 / $643.45 / $643.45	Professional		$643.45	$643.45	$643.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.41 / $399.17 / $419.12	Professional		$279.41	$399.17	$419.12
United Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $244.73 / $423.90	Professional		$164.56	$244.73	$423.90