Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.58 / $358.58 / $358.58	Facility		$358.58	$358.58	$358.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.43 / $358.58 / $536.32	Professional		$292.43	$358.58	$536.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $864.96 / $1,463.36 / $6,233.58	Facility		$864.96	$1,463.36	$6,233.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $755.89	Facility		$468.67	$468.67	$755.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $468.67 / $840.00	Professional		$342.13	$468.67	$840.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $615.80 / $814.15 / $1,014.27	Professional		$615.80	$814.15	$1,014.27
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 $941.82 / $941.82 / $941.82	Professional		$941.82	$941.82	$941.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $382.24 / $546.05 / $573.36	Professional		$382.24	$546.05	$573.36
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $261.86 / $361.44 / $620.47	Professional		$261.86	$361.44	$620.47