Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.14 / $389.14 / $389.14	Facility		$389.14	$389.14	$389.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.37 / $396.63 / $613.99	Professional		$345.37	$396.63	$613.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $939.69 / $1,589.79 / $6,764.94	Facility		$939.69	$1,589.79	$6,764.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.54 / $597.54 / $597.54	Professional		$597.54	$597.54	$597.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $901.26	Facility		$456.40	$456.40	$901.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $456.40 / $911.63	Professional		$333.17	$456.40	$911.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $668.30 / $930.13 / $1,135.45	Professional		$668.30	$930.13	$1,135.45
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 $1,022.11 / $1,022.11 / $1,022.11	Professional		$1,022.11	$1,022.11	$1,022.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $479.12 / $684.46 / $718.68	Professional		$479.12	$684.46	$718.68
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.66 / $392.24 / $817.16	Professional		$303.66	$392.24	$817.16