Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.29 / $290.29 / $322.89	Facility		$290.29	$290.29	$322.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.85 / $295.67 / $381.79	Professional		$226.85	$295.67	$381.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.16 / $1,140.56 / $4,859.64	Facility		$674.16	$1,140.56	$4,859.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.45 / $429.25 / $429.25	Professional		$336.45	$429.25	$429.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $618.16	Facility		$315.25	$315.25	$618.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $315.25 / $654.75	Professional		$230.13	$315.25	$654.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $451.84 / $564.79 / $734.24	Professional		$451.84	$564.79	$734.24
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 $734.24 / $734.24 / $734.24	Professional		$734.24	$734.24	$734.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $297.98 / $425.69 / $446.97	Professional		$297.98	$425.69	$446.97
United Facility/Professional Professional Modifier Low / Median / High Price $209.75 / $281.77 / $483.70	Professional		$209.75	$281.77	$483.70