Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.47 / $377.47 / $377.47	Facility		$377.47	$377.47	$377.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $377.47 / $587.51	Professional		$297.83	$377.47	$587.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $877.68 / $1,484.88 / $6,318.93	Facility		$877.68	$1,484.88	$6,318.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.34 / $558.14 / $558.14	Professional		$473.34	$558.14	$558.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $744.96	Facility		$408.71	$408.71	$744.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $408.71 / $851.25	Professional		$298.36	$408.71	$851.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $587.51 / $771.11 / $926.61	Professional		$587.51	$771.11	$926.61
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 $954.71 / $954.71 / $954.71	Professional		$954.71	$954.71	$954.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $414.58 / $592.27 / $621.88	Professional		$414.58	$592.27	$621.88
United Facility/Professional Professional Modifier Low / Median / High Price $271.94 / $363.11 / $628.96	Professional		$271.94	$363.11	$628.96