Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.98 / $255.98 / $255.98	Facility		$255.98	$255.98	$255.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.96 / $275.67 / $441.86	Professional		$230.96	$275.67	$441.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.51 / $1,046.41 / $4,449.92	Facility		$618.51	$1,046.41	$4,449.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $573.45	Facility		$364.44	$364.44	$573.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $364.44 / $599.63	Professional		$266.04	$364.44	$599.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $439.60 / $684.80 / $825.30	Professional		$439.60	$684.80	$825.30
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 $672.33 / $672.33 / $672.33	Professional		$672.33	$672.33	$672.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.86 / $389.80 / $409.29	Professional		$272.86	$389.80	$409.29
United Facility/Professional Professional Modifier Low / Median / High Price $215.02 / $258.02 / $442.93	Professional		$215.02	$258.02	$442.93