Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.66 / $254.66 / $254.66	Facility		$254.66	$254.66	$254.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $254.66 / $396.37	Professional		$209.25	$254.66	$396.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.48 / $1,000.68 / $4,263.02	Facility		$591.48	$1,000.68	$4,263.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $577.47	Facility		$290.63	$290.63	$577.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $290.63 / $574.50	Professional		$212.16	$290.63	$574.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $421.14 / $725.43 / $1,034.65	Professional		$421.14	$725.43	$1,034.65
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 $644.10 / $644.10 / $644.10	Professional		$644.10	$644.10	$644.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.72 / $399.60 / $419.58	Professional		$279.72	$399.60	$419.58
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $192.24 / $247.19 / $437.71	Professional		$192.24	$247.19	$437.71