Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.00 / $246.00 / $246.00	Facility		$246.00	$246.00	$246.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.65 / $246.00 / $407.82	Professional		$216.65	$246.00	$407.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.66 / $1,006.06 / $4,276.52	Facility		$594.66	$1,006.06	$4,276.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.74 / $377.74 / $377.74	Professional		$377.74	$377.74	$377.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $544.05	Facility		$321.50	$321.50	$544.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $610.96	Professional		$234.70	$234.70	$610.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $447.33 / $1,677.73 / $2,042.46	Professional		$447.33	$1,677.73	$2,042.46
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 $646.14 / $646.14 / $646.14	Professional		$646.14	$646.14	$646.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.88 / $432.69 / $454.32	Professional		$302.88	$432.69	$454.32
United Facility/Professional Professional Modifier Low / Median / High Price $200.21 / $247.96 / $439.07	Professional		$200.21	$247.96	$439.07