Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.70 / $309.70 / $309.70	Facility		$309.70	$309.70	$309.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $309.70 / $482.03	Professional		$244.45	$309.70	$482.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.27 / $1,218.57 / $5,184.38	Facility		$720.27	$1,218.57	$5,184.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.36 / $457.93 / $457.93	Professional		$388.36	$457.93	$457.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $622.71	Facility		$380.61	$380.61	$622.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $705.61	Professional		$277.85	$277.85	$705.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.16 / $692.92 / $855.01	Professional		$512.16	$692.92	$855.01
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 $783.30 / $783.30 / $783.30	Professional		$783.30	$783.30	$783.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $317.90 / $454.15 / $476.85	Professional		$317.90	$454.15	$476.85
United Facility/Professional Professional Modifier Low / Median / High Price $223.15 / $300.61 / $527.82	Professional		$223.15	$300.61	$527.82