Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.36 / $263.36 / $263.36	Facility		$263.36	$263.36	$263.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.24 / $283.62 / $471.33	Professional		$253.24	$283.62	$471.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.00 / $1,076.00 / $4,578.35	Facility		$636.00	$1,076.00	$4,578.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.40 / $404.40 / $404.40	Professional		$404.40	$404.40	$404.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $344.22 / $664.27	Facility		$344.22	$344.22	$664.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $344.22 / $616.88	Professional		$251.28	$344.22	$616.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $452.29 / $582.03 / $737.67	Professional		$452.29	$582.03	$737.67
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 $691.74 / $691.74 / $691.74	Professional		$691.74	$691.74	$691.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $280.74 / $401.06 / $421.11	Professional		$280.74	$401.06	$421.11
United Facility/Professional Professional Modifier Low / Median / High Price $223.72 / $265.45 / $553.04	Professional		$223.72	$265.45	$553.04