Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $758.58	Facility		$380.19	$380.19	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $645.65	Professional		$263.03	$380.19	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,445.44 / $5,128.61	Facility		$891.25	$1,445.44	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $562.34	Professional		$436.52	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $794.33	Facility		$380.19	$380.19	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $776.25	Professional		$275.42	$275.42	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $977.24	Professional		$588.84	$794.33	$977.24
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 $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $562.34	Professional		$389.05	$389.05	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $588.84 / $954.99	Facility		$245.47	$588.84	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $549.54	Professional		$245.47	$371.54	$549.54