Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.64 / $308.64 / $308.64	Facility		$308.64	$308.64	$308.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $328.88 / $608.79	Professional		$278.48	$328.88	$608.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $745.71 / $1,261.60 / $5,365.53	Facility		$745.71	$1,261.60	$5,365.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.93 / $473.93 / $473.93	Professional		$473.93	$473.93	$473.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $685.96	Facility		$389.66	$389.66	$685.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $389.65 / $723.00	Professional		$284.45	$389.65	$723.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $530.04 / $725.19 / $885.27	Professional		$530.04	$725.19	$885.27
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 $810.67 / $810.67 / $810.67	Professional		$810.67	$810.67	$810.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $470.01 / $493.51	Professional		$329.00	$470.01	$493.51
United Facility/Professional Professional Modifier Low / Median / High Price $259.25 / $311.10 / $648.13	Professional		$259.25	$311.10	$648.13