Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $676.08	Facility		$331.13	$331.13	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $676.08	Professional		$257.04	$354.81	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $4,570.88	Facility		$794.33	$1,288.25	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $707.95	Facility		$398.11	$398.11	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $707.95	Professional		$295.12	$295.12	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $912.01	Professional		$562.34	$724.44	$912.01
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 $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $501.19	Professional		$354.81	$354.81	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $537.03 / $954.99	Facility		$398.11	$537.03	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $501.19	Professional		$251.19	$331.13	$501.19