Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.82 / $296.82 / $296.82	Facility		$296.82	$296.82	$296.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.50 / $296.82 / $462.00	Professional		$254.50	$296.82	$462.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.06 / $1,167.46 / $4,968.95	Facility		$690.06	$1,167.46	$4,968.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.49 / $438.90 / $438.90	Professional		$383.49	$438.90	$438.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $677.80	Facility		$373.57	$373.57	$677.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $373.57 / $669.38	Professional		$272.70	$373.57	$669.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $490.88 / $645.21 / $794.20	Professional		$490.88	$645.21	$794.20
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 $750.75 / $750.75 / $750.75	Professional		$750.75	$750.75	$750.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $304.68 / $435.27 / $457.03	Professional		$304.68	$435.27	$457.03
United Facility/Professional Facility Modifier Low / Median / High Price $188.83 / $276.36 / $577.50	Facility		$188.83	$276.36	$577.50
United Facility/Professional Professional Modifier Low / Median / High Price $232.38 / $288.11 / $494.59	Professional		$232.38	$288.11	$494.59