Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.48 / $269.48 / $269.48	Facility		$269.48	$269.48	$269.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.32 / $269.48 / $446.72	Professional		$237.32	$269.48	$446.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.30 / $1,100.21 / $4,684.72	Facility		$650.30	$1,100.21	$4,684.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.56 / $413.79 / $413.79	Professional		$361.56	$413.79	$413.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $595.97	Facility		$388.32	$388.32	$595.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $388.32 / $631.13	Professional		$330.07	$388.32	$631.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $537.75 / $633.15	Professional		$459.00	$537.75	$633.15
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 $707.80 / $707.80 / $707.80	Professional		$707.80	$707.80	$707.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.91 / $332.74 / $349.37	Professional		$232.91	$332.74	$349.37
United Facility/Professional Professional Modifier Low / Median / High Price $204.79 / $271.63 / $466.29	Professional		$204.79	$271.63	$466.29