Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.42 / $382.42 / $382.42	Facility		$382.42	$382.42	$382.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.07 / $382.42 / $514.37	Professional		$289.07	$382.42	$514.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $923.79 / $1,562.89 / $6,648.00	Facility		$923.79	$1,562.89	$6,648.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.22 / $587.22 / $587.22	Professional		$587.22	$587.22	$587.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $668.13	Facility		$499.82	$499.82	$668.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $499.82 / $895.88	Professional		$364.87	$499.82	$895.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $618.13 / $1,143.00 / $1,383.46	Professional		$618.13	$1,143.00	$1,383.46
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 $1,004.46 / $1,004.46 / $1,004.46	Professional		$1,004.46	$1,004.46	$1,004.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.19 / $623.13 / $654.28	Professional		$436.19	$623.13	$654.28
United Facility/Professional Facility Modifier Low / Median / High Price $218.30 / $382.03 / $435.59	Facility		$218.30	$382.03	$435.59
United Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $385.47 / $714.64	Professional		$258.52	$385.47	$714.64