Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.47 / $350.47 / $350.47	Facility		$350.47	$350.47	$350.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.91 / $350.47 / $545.50	Professional		$273.91	$350.47	$545.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.08 / $1,377.28 / $5,867.06	Facility		$814.08	$1,377.28	$5,867.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.49 / $518.22 / $518.22	Professional		$439.49	$518.22	$518.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $746.37	Facility		$380.63	$380.63	$746.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $790.50	Professional		$277.86	$380.63	$790.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $579.59 / $793.40 / $959.33	Professional		$579.59	$793.40	$959.33
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 $886.43 / $886.43 / $886.43	Professional		$886.43	$886.43	$886.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $359.75 / $513.94 / $539.63	Professional		$359.75	$513.94	$539.63
United Facility/Professional Professional Modifier Low / Median / High Price $253.25 / $337.15 / $583.98	Professional		$253.25	$337.15	$583.98