Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.39 / $289.39 / $289.39	Facility		$289.39	$289.39	$289.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.65 / $289.39 / $450.43	Professional		$228.65	$289.39	$450.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.57 / $1,137.86 / $4,844.51	Facility		$672.57	$1,137.86	$4,844.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.66 / $427.91 / $427.91	Professional		$321.66	$427.91	$427.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $637.62	Facility		$313.79	$313.79	$637.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $313.79 / $652.88	Professional		$229.07	$313.79	$652.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.58 / $619.34 / $762.35	Professional		$478.58	$619.34	$762.35
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 $731.95 / $731.95 / $731.95	Professional		$731.95	$731.95	$731.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $317.85 / $454.08 / $476.78	Professional		$317.85	$454.08	$476.78
United Facility/Professional Professional Modifier Low / Median / High Price $207.56 / $280.89 / $493.21	Professional		$207.56	$280.89	$493.21