Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $478.63	Facility		$398.11	$398.11	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $501.19	Professional		$398.11	$416.87	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,905.46 / $6,309.57	Facility		$933.25	$1,905.46	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $346.74 / $707.95	Professional		$120.23	$346.74	$707.95
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $831.76	Facility		$501.19	$831.76	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $524.81	Professional		$501.19	$501.19	$524.81