Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $707.95	Facility		$354.81	$354.81	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $616.60	Professional		$295.12	$363.08	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $6,760.83	Facility		$851.14	$1,148.15	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $524.81	Professional		$457.09	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $776.25	Facility		$436.52	$436.52	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $758.58	Professional		$316.23	$316.23	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,000.00	Professional		$588.84	$812.83	$1,000.00
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 $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $524.81	Professional		$363.08	$363.08	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $549.54 / $1,000.00	Facility		$269.15	$549.54	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $537.03	Professional		$257.04	$346.74	$537.03