Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.64 / $377.64 / $377.64	Facility		$377.64	$377.64	$377.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.04 / $377.64 / $481.05	Professional		$295.04	$377.64	$481.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $911.07 / $1,541.37 / $6,565.00	Facility		$911.07	$1,541.37	$6,565.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.89 / $579.89 / $579.89	Professional		$579.89	$579.89	$579.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $643.72	Facility		$493.58	$493.58	$643.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $493.58 / $884.63	Professional		$360.31	$493.58	$884.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $610.41 / $763.01 / $946.13	Professional		$610.41	$763.01	$946.13
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 $991.91 / $991.91 / $991.91	Professional		$991.91	$991.91	$991.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $430.73 / $615.34 / $646.10	Professional		$430.73	$615.34	$646.10
United Facility/Professional Facility Modifier Low / Median / High Price $763.01 / $915.61 / $1,701.51	Facility		$763.01	$915.61	$1,701.51
United Facility/Professional Professional Modifier Low / Median / High Price $248.54 / $380.66 / $653.46	Professional		$248.54	$380.66	$653.46