Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.69 / $373.69 / $373.69	Facility		$373.69	$373.69	$373.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.08 / $373.69 / $582.41	Professional		$297.08	$373.69	$582.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.53 / $1,525.23 / $6,496.32	Facility		$901.53	$1,525.23	$6,496.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.80 / $573.80 / $573.80	Professional		$573.80	$573.80	$573.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $820.84	Facility		$394.91	$394.91	$820.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $394.90 / $875.25	Professional		$288.27	$394.90	$875.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $636.96 / $778.59 / $981.51	Professional		$636.96	$778.59	$981.51
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 $981.51 / $981.51 / $981.51	Professional		$981.51	$981.51	$981.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.21 / $608.88 / $639.32	Professional		$426.21	$608.88	$639.32
United Facility/Professional Professional Modifier Low / Median / High Price $279.41 / $376.66 / $646.60	Professional		$279.41	$376.66	$646.60