Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.01 / $261.01 / $261.01	Facility		$261.01	$261.01	$261.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.01 / $287.66 / $443.30	Professional		$261.01	$287.66	$443.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.64 / $1,065.24 / $4,537.51	Facility		$629.64	$1,065.24	$4,537.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.79 / $400.79 / $400.79	Professional		$400.79	$400.79	$400.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $580.10	Facility		$329.53	$329.53	$580.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $329.53 / $611.25	Professional		$240.56	$329.53	$611.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $448.26 / $613.78 / $749.27	Professional		$448.26	$613.78	$749.27
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 $685.57 / $685.57 / $685.57	Professional		$685.57	$685.57	$685.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.23 / $397.48 / $417.35	Professional		$278.23	$397.48	$417.35
United Facility/Professional Professional Modifier Low / Median / High Price $220.35 / $263.08 / $451.64	Professional		$220.35	$263.08	$451.64