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 $914.76 / $3,336.90 / $7,278.20	Facility		$914.76	$3,336.90	$7,278.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.20 / $526.67 / $526.67	Professional		$460.20	$526.67	$526.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $437.50 / $758.55	Facility		$437.50	$437.50	$758.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $437.50 / $803.25	Professional		$319.38	$437.50	$803.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $623.70 / $831.60 / $1,006.64	Professional		$623.70	$831.60	$1,006.64
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 $365.63 / $522.33 / $548.44	Professional		$365.63	$522.33	$548.44
United Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $345.73 / $612.20	Professional		$257.38	$345.73	$612.20