Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.43 / $312.43 / $312.43	Facility		$312.43	$312.43	$312.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.82 / $312.43 / $457.75	Professional		$220.82	$312.43	$457.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.63 / $1,229.33 / $5,230.17	Facility		$726.63	$1,229.33	$5,230.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.91 / $461.97 / $461.97	Professional		$379.91	$461.97	$461.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.44 / $328.44 / $578.17	Facility		$328.44	$328.44	$578.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $328.44 / $704.63	Professional		$239.76	$328.44	$704.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $486.01 / $614.60 / $753.75	Professional		$486.01	$614.60	$753.75
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 $790.22 / $790.22 / $790.22	Professional		$790.22	$790.22	$790.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.70 / $458.15 / $481.05	Professional		$320.70	$458.15	$481.05
United Facility/Professional Professional Modifier Low / Median / High Price $205.32 / $303.25 / $520.58	Professional		$205.32	$303.25	$520.58