Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.58 / $299.58 / $299.58	Facility		$299.58	$299.58	$299.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.13 / $303.64 / $464.36	Professional		$234.13	$303.64	$464.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.42 / $1,160.70 / $5,015.32	Facility		$696.42	$1,160.70	$5,015.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.22 / $442.99 / $442.99	Professional		$347.22	$442.99	$442.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $638.03	Facility		$325.37	$325.37	$638.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $426.75 / $590.16	Professional		$237.52	$426.75	$590.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $495.45 / $642.98 / $791.44	Professional		$495.45	$642.98	$791.44
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 $757.74 / $757.74 / $757.74	Professional		$757.74	$757.74	$757.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $329.06 / $470.09 / $493.59	Professional		$329.06	$470.09	$493.59
United Facility/Professional Professional Modifier Low / Median / High Price $215.23 / $290.80 / $514.91	Professional		$215.23	$290.80	$514.91