Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.96 / $345.96 / $345.96	Facility		$345.96	$345.96	$345.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.44 / $345.96 / $547.27	Professional		$274.44	$345.96	$547.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $834.75 / $1,412.25 / $6,014.28	Facility		$834.75	$1,412.25	$6,014.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.23 / $531.23 / $531.23	Professional		$531.23	$531.23	$531.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $890.80	Facility		$452.18	$452.18	$890.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $452.18 / $810.38	Professional		$330.09	$452.18	$810.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $594.14 / $788.10 / $978.59	Professional		$594.14	$788.10	$978.59
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 $908.69 / $908.69 / $908.69	Professional		$908.69	$908.69	$908.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $368.78 / $526.84 / $553.18	Professional		$368.78	$526.84	$553.18
United Facility/Professional Facility Modifier Low / Median / High Price $698.99 / $983.28 / $1,827.26	Facility		$698.99	$983.28	$1,827.26
United Facility/Professional Professional Modifier Low / Median / High Price $256.77 / $348.72 / $617.49	Professional		$256.77	$348.72	$617.49