Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.02 / $281.02 / $281.02	Facility		$281.02	$281.02	$281.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.74 / $281.02 / $429.58	Professional		$211.74	$281.02	$429.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.49 / $1,105.58 / $4,704.45	Facility		$653.49	$1,105.58	$4,704.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.70 / $415.54 / $415.54	Professional		$325.70	$415.54	$415.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $523.92	Facility		$297.62	$297.62	$523.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $297.62 / $633.75	Professional		$217.26	$297.62	$633.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $368.80 / $513.20 / $646.00	Professional		$368.80	$513.20	$646.00
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 $710.79 / $710.79 / $710.79	Professional		$710.79	$710.79	$710.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.66 / $440.95 / $462.99	Professional		$308.66	$440.95	$462.99
United Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $272.77 / $468.27	Professional		$198.02	$272.77	$468.27