Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $812.83	Facility		$407.38	$407.38	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $741.31	Professional		$331.13	$407.38	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,548.82 / $5,495.41	Facility		$954.99	$1,548.82	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $602.56	Professional		$457.09	$457.09	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $870.96	Facility		$512.86	$512.86	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $851.14	Professional		$371.54	$371.54	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,202.26	Professional		$676.08	$977.24	$1,202.26
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 $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $602.56	Professional		$416.87	$416.87	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $630.96 / $1,174.90	Facility		$302.00	$630.96	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $616.60	Professional		$302.00	$398.11	$616.60