Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.03 / $328.03 / $328.03	Facility		$328.03	$328.03	$328.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.55 / $328.03 / $510.98	Professional		$240.55	$328.03	$510.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $791.82 / $1,339.62 / $5,702.47	Facility		$791.82	$1,339.62	$5,702.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.69 / $503.69 / $503.69	Professional		$503.69	$503.69	$503.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $761.09	Facility		$393.88	$393.88	$761.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $776.06	Professional		$287.52	$287.52	$776.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $560.70 / $687.96 / $863.10	Professional		$560.70	$687.96	$863.10
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 $861.58 / $861.58 / $861.58	Professional		$861.58	$861.58	$861.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $374.15 / $534.50 / $561.22	Professional		$374.15	$534.50	$561.22
United Facility/Professional Professional Modifier Low / Median / High Price $252.33 / $330.64 / $585.47	Professional		$252.33	$330.64	$585.47