Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.77 / $301.77 / $587.14	Facility		$301.77	$301.77	$587.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.43 / $301.77 / $469.71	Professional		$239.43	$301.77	$469.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.19 / $1,186.29 / $5,051.83	Facility		$701.19	$1,186.29	$5,051.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.90 / $446.23 / $446.23	Professional		$389.90	$446.23	$446.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $335.34 / $590.33	Facility		$335.34	$335.34	$590.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $335.34 / $680.63	Professional		$244.80	$335.34	$680.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $499.07 / $645.85 / $809.67	Professional		$499.07	$645.85	$809.67
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 $763.28 / $763.28 / $763.28	Professional		$763.28	$763.28	$763.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.45 / $473.51 / $497.18	Professional		$331.45	$473.51	$497.18
United Facility/Professional Professional Modifier Low / Median / High Price $223.11 / $290.30 / $478.11	Professional		$223.11	$290.30	$478.11