Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $707.95	Facility		$346.74	$346.74	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $707.95	Professional		$269.15	$363.08	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,348.96 / $4,786.30	Facility		$831.76	$1,348.96	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $912.01	Facility		$457.09	$457.09	$912.01
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 $588.84 / $794.33 / $1,000.00	Professional		$588.84	$794.33	$1,000.00
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 / $524.81	Professional		$371.54	$371.54	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $562.34 / $1,000.00	Facility		$407.38	$562.34	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $575.44	Professional		$269.15	$346.74	$575.44