Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.13 / $257.13 / $257.13	Facility		$257.13	$257.13	$257.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.48 / $257.13 / $400.22	Professional		$207.48	$257.13	$400.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.84 / $1,011.44 / $4,304.47	Facility		$597.84	$1,011.44	$4,304.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.89 / $352.55 / $533.25	Facility		$335.89	$352.55	$533.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $352.55 / $580.13	Professional		$257.36	$352.55	$580.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $425.24 / $856.02 / $1,220.89	Professional		$425.24	$856.02	$1,220.89
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 $650.36 / $650.36 / $650.36	Professional		$650.36	$650.36	$650.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.42 / $403.46 / $423.63	Professional		$282.42	$403.46	$423.63
United Facility/Professional Professional Modifier Low / Median / High Price $190.47 / $249.58 / $438.23	Professional		$190.47	$249.58	$438.23