Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.55 / $241.55 / $241.55	Facility		$241.55	$241.55	$241.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.10 / $244.67 / $379.03	Professional		$222.10	$244.67	$379.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.53 / $987.23 / $4,199.16	Facility		$583.53	$987.23	$4,199.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $514.05	Facility		$315.70	$315.70	$514.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $315.70 / $565.88	Professional		$230.47	$315.70	$565.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $414.83 / $546.52 / $683.26	Professional		$414.83	$546.52	$683.26
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 $634.45 / $634.45 / $634.45	Professional		$634.45	$634.45	$634.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.48 / $367.83 / $386.22	Professional		$257.48	$367.83	$386.22
United Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $243.47 / $427.51	Professional		$184.14	$243.47	$427.51