Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $575.44	Facility		$295.12	$295.12	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $489.78	Professional		$234.42	$295.12	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,096.48 / $3,890.45	Facility		$691.83	$1,096.48	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $436.52	Professional		$380.19	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $645.65	Professional		$275.42	$275.42	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $741.31	Professional		$457.09	$602.56	$741.31
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 $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $457.09	Professional		$323.59	$323.59	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $457.09 / $851.14	Facility		$218.78	$457.09	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $446.68	Professional		$213.80	$281.84	$446.68