Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $724.44	Facility		$346.74	$346.74	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $724.44	Professional		$309.03	$398.11	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,380.38 / $4,897.79	Facility		$851.14	$1,380.38	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $870.96	Facility		$457.09	$457.09	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $812.83	Professional		$331.13	$331.13	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,071.52	Professional		$602.56	$870.96	$1,071.52
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 $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $537.03	Professional		$371.54	$371.54	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,148.15	Facility		$467.74	$562.34	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $588.84	Professional		$295.12	$354.81	$588.84