Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $758.58	Facility		$371.54	$371.54	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $758.58	Professional		$281.84	$398.11	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,445.44 / $5,128.61	Facility		$891.25	$1,445.44	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $741.31	Facility		$407.38	$407.38	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $758.58	Professional		$302.00	$302.00	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,047.13	Professional		$630.96	$831.76	$1,047.13
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 $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $691.83	Professional		$489.78	$489.78	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $1,071.52	Facility		$436.52	$602.56	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $562.34	Professional		$281.84	$371.54	$562.34