Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.19 / $356.19 / $356.19	Facility		$356.19	$356.19	$356.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.37 / $356.19 / $554.40	Professional		$278.37	$356.19	$554.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $828.39 / $1,401.49 / $5,962.74	Facility		$828.39	$1,401.49	$5,962.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.66 / $526.67 / $526.67	Professional		$446.66	$526.67	$526.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $758.55	Facility		$386.84	$386.84	$758.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $386.83 / $803.25	Professional		$282.39	$386.83	$803.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $570.04 / $733.59 / $896.54	Professional		$570.04	$733.59	$896.54
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 $900.90 / $900.90 / $900.90	Professional		$900.90	$900.90	$900.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $391.22 / $558.89 / $586.83	Professional		$391.22	$558.89	$586.83
United Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $345.73 / $607.05	Professional		$257.38	$345.73	$607.05