Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.00 / $277.00 / $277.00	Facility		$277.00	$277.00	$277.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.93 / $277.00 / $459.17	Professional		$243.93	$277.00	$459.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.39 / $1,132.49 / $4,815.51	Facility		$669.39	$1,132.49	$4,815.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $612.57	Facility		$362.03	$362.03	$612.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $362.03 / $648.75	Professional		$264.27	$362.03	$648.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $475.72 / $604.14 / $773.48	Professional		$475.72	$604.14	$773.48
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 $727.57 / $727.57 / $727.57	Professional		$727.57	$727.57	$727.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $341.05 / $487.22 / $511.58	Professional		$341.05	$487.22	$511.58
United Facility/Professional Professional Modifier Low / Median / High Price $208.89 / $279.20 / $490.26	Professional		$208.89	$279.20	$490.26