Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.28 / $452.28 / $452.28	Facility		$452.28	$452.28	$452.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.98 / $452.28 / $603.04	Professional		$309.98	$452.28	$603.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.36 / $5,958.00 / $11,930.89	Facility		$2,785.36	$5,958.00	$11,930.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $54.42 / $54.42	Professional		$40.60	$54.42	$54.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $477.02	Facility		$370.80	$370.80	$477.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $370.80 / $862.50	Professional		$63.74	$370.80	$862.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $120.00 / $345.40	Professional		$90.62	$120.00	$345.40
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 $81.63 / $81.63 / $108.84	Professional		$81.63	$81.63	$108.84
United Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $357.87 / $616.62	Professional		$287.14	$357.87	$616.62