Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.80 / $258.80 / $503.51	Facility		$258.80	$258.80	$503.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.43 / $266.89 / $402.81	Professional		$254.43	$266.89	$402.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $601.02 / $1,016.82 / $4,332.29	Facility		$601.02	$1,016.82	$4,332.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.36 / $382.67 / $382.67	Professional		$334.36	$382.67	$382.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $319.76 / $557.40	Facility		$319.76	$319.76	$557.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $233.42 / $589.71	Professional		$233.42	$233.42	$589.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $427.98 / $599.17 / $778.28	Professional		$427.98	$599.17	$778.28
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 $654.55 / $654.55 / $654.55	Professional		$654.55	$654.55	$654.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $284.24 / $406.07 / $426.37	Professional		$284.24	$406.07	$426.37
United Facility/Professional Professional Modifier Low / Median / High Price $209.33 / $251.20 / $432.52	Professional		$209.33	$251.20	$432.52