Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.45 / $260.45 / $260.45	Facility		$260.45	$260.45	$260.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.18 / $272.41 / $422.01	Professional		$238.18	$272.41	$422.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.04 / $1,062.55 / $4,527.88	Facility		$628.04	$1,062.55	$4,527.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $629.24	Facility		$340.42	$340.42	$629.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $340.42 / $610.13	Professional		$248.51	$340.42	$610.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $447.30 / $589.83 / $736.72	Professional		$447.30	$589.83	$736.72
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 $684.10 / $684.10 / $684.10	Professional		$684.10	$684.10	$684.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.64 / $396.63 / $416.46	Professional		$277.64	$396.63	$416.46
United Facility/Professional Professional Modifier Low / Median / High Price $209.65 / $262.52 / $464.87	Professional		$209.65	$262.52	$464.87