Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.01 / $290.01 / $290.01	Facility		$290.01	$290.01	$290.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.67 / $312.32 / $492.55	Professional		$261.67	$312.32	$492.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.60 / $1,183.59 / $5,041.62	Facility		$699.60	$1,183.59	$5,041.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.31 / $445.31 / $445.31	Professional		$445.31	$445.31	$445.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $644.53	Facility		$379.03	$379.03	$644.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $685.92	Professional		$276.69	$276.69	$685.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $498.05 / $682.09 / $832.66	Professional		$498.05	$682.09	$832.66
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 $761.72 / $761.72 / $761.72	Professional		$761.72	$761.72	$761.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.77 / $472.54 / $496.16	Professional		$330.77	$472.54	$496.16
United Facility/Professional Professional Modifier Low / Median / High Price $243.60 / $292.32 / $501.82	Professional		$243.60	$292.32	$501.82