Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.83 / $466.82 / $777.66	Facility		$388.83	$466.82	$777.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.83 / $392.63 / $431.60	Professional		$388.83	$392.63	$431.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.37 / $1,522.04 / $6,522.46	Facility		$658.37	$1,522.04	$6,522.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.34 / $393.38 / $393.38	Professional		$348.34	$393.38	$393.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $460.15	Professional		$392.63	$392.63	$460.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $333.74 / $460.15 / $846.89	Professional		$333.74	$460.15	$846.89
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 $510.42 / $510.42 / $510.42	Professional		$510.42	$510.42	$510.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $523.28 / $560.66	Professional		$373.77	$523.28	$560.66
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $883.42	Facility		$392.63	$392.63	$883.42
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $415.23 / $446.16	Professional		$392.63	$415.23	$446.16