Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $588.84	Facility		$295.12	$295.12	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $588.84	Professional		$269.15	$309.03	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,122.02 / $3,981.07	Facility		$691.83	$1,122.02	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $436.52	Professional		$380.19	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $389.05	Facility		$371.54	$371.54	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $676.08	Professional		$275.42	$275.42	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $794.33	Professional		$457.09	$630.96	$794.33
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 $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $436.52	Professional		$302.00	$302.00	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $912.01	Facility		$234.42	$457.09	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $478.63	Professional		$218.78	$288.40	$478.63