Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.95 / $256.95 / $256.95	Facility		$256.95	$256.95	$256.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.01 / $256.95 / $393.76	Professional		$212.01	$256.95	$393.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.10 / $1,049.09 / $4,466.95	Facility		$620.10	$1,049.09	$4,466.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.56 / $394.56 / $394.56	Professional		$394.56	$394.56	$394.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $554.94	Facility		$335.84	$335.84	$554.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $607.89	Professional		$245.16	$245.16	$607.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $441.29 / $565.89 / $717.18	Professional		$441.29	$565.89	$717.18
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 $674.91 / $674.91 / $674.91	Professional		$674.91	$674.91	$674.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $273.91 / $391.30 / $410.86	Professional		$273.91	$391.30	$410.86
United Facility/Professional Professional Modifier Low / Median / High Price $196.54 / $259.00 / $444.62	Professional		$196.54	$259.00	$444.62