Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.49 / $295.49 / $295.49	Facility		$295.49	$295.49	$295.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.61 / $318.22 / $597.02	Professional		$266.61	$318.22	$597.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $713.91 / $1,207.81 / $5,136.83	Facility		$713.91	$1,207.81	$5,136.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.74 / $453.74 / $476.43	Professional		$453.74	$453.74	$476.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $875.63	Facility		$380.63	$380.63	$875.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $692.25	Professional		$277.86	$380.63	$692.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $531.87 / $737.14 / $895.53	Professional		$531.87	$737.14	$895.53
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 $776.13 / $776.13 / $776.13	Professional		$776.13	$776.13	$776.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $314.98 / $449.98 / $472.47	Professional		$314.98	$449.98	$472.47
United Facility/Professional Professional Modifier Low / Median / High Price $266.32 / $297.85 / $511.30	Professional		$266.32	$297.85	$511.30