Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.21 / $382.21 / $382.21	Facility		$382.21	$382.21	$382.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.04 / $382.21 / $524.71	Professional		$241.04	$382.21	$524.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.81 / $1,503.71 / $6,398.30	Facility		$888.81	$1,503.71	$6,398.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.08 / $565.15 / $565.15	Professional		$432.08	$565.15	$565.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $378.92 / $780.73	Facility		$378.92	$378.92	$780.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $378.92 / $862.13	Professional		$276.61	$378.92	$862.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.94 / $802.21 / $966.71	Professional		$616.94	$802.21	$966.71
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 $966.71 / $966.71 / $966.71	Professional		$966.71	$966.71	$966.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $392.32 / $560.47 / $588.49	Professional		$392.32	$560.47	$588.49
United Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $359.40 / $656.90	Professional		$241.87	$359.40	$656.90