Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.47 / $385.47 / $385.47	Facility		$385.47	$385.47	$385.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.85 / $385.47 / $507.72	Professional		$260.85	$385.47	$507.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.15 / $1,573.65 / $6,701.07	Facility		$930.15	$1,573.65	$6,701.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.90 / $591.90 / $591.90	Professional		$591.90	$591.90	$591.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $642.52	Facility		$503.81	$503.81	$642.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $903.00	Professional		$367.78	$367.78	$903.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $692.48 / $895.63	Professional		$604.00	$692.48	$895.63
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 $1,012.45 / $1,012.45 / $1,012.45	Professional		$1,012.45	$1,012.45	$1,012.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $410.90 / $587.01 / $616.36	Professional		$410.90	$587.01	$616.36
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $259.02 / $388.54 / $667.00	Professional		$259.02	$388.54	$667.00