Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.69 / $329.69 / $329.69	Facility		$329.69	$329.69	$329.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $355.05 / $497.46	Professional		$264.27	$355.05	$497.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.59 / $1,347.69 / $5,731.35	Facility		$796.59	$1,347.69	$5,731.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.24 / $506.24 / $506.24	Professional		$506.24	$506.24	$506.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $400.78 / $700.25	Facility		$400.78	$400.78	$700.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $400.78 / $772.13	Professional		$292.57	$400.78	$772.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $566.19 / $709.13 / $898.72	Professional		$566.19	$709.13	$898.72
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 $865.93 / $865.93 / $865.93	Professional		$865.93	$865.93	$865.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $502.06 / $527.16	Professional		$351.44	$502.06	$527.16
United Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $332.32 / $600.86	Professional		$264.00	$332.32	$600.86