Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Facility		$329.51	$329.51	$329.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $329.51 / $512.88	Professional		$254.10	$329.51	$512.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.38 / $1,296.58 / $5,516.03	Facility		$766.38	$1,296.58	$5,516.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.03 / $487.24 / $487.24	Professional		$385.03	$487.24	$487.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.04 / $419.04 / $650.29	Facility		$419.04	$419.04	$650.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $419.04 / $743.25	Professional		$305.89	$419.04	$743.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $460.07 / $640.21 / $769.32	Professional		$460.07	$640.21	$769.32
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 $833.43 / $833.43 / $833.43	Professional		$833.43	$833.43	$833.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.24 / $483.20 / $507.36	Professional		$338.24	$483.20	$507.36
United Facility/Professional Professional Modifier Low / Median / High Price $232.01 / $319.83 / $549.04	Professional		$232.01	$319.83	$549.04