Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.74 / $268.74 / $268.74	Facility		$268.74	$268.74	$268.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.07 / $268.74 / $418.29	Professional		$238.07	$268.74	$418.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.87 / $1,057.17 / $4,498.88	Facility		$624.87	$1,057.17	$4,498.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.03 / $373.35 / $575.15	Facility		$351.03	$373.35	$575.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $373.35 / $606.00	Professional		$272.55	$373.35	$606.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $444.43 / $640.86 / $784.29	Professional		$444.43	$640.86	$784.29
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 $679.72 / $679.72 / $679.72	Professional		$679.72	$679.72	$679.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.85 / $394.08 / $413.78	Professional		$275.85	$394.08	$413.78
United Facility/Professional Professional Modifier Low / Median / High Price $217.38 / $260.85 / $465.81	Professional		$217.38	$260.85	$465.81