Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $707.95	Facility		$338.84	$338.84	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $630.96	Professional		$263.03	$346.74	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,318.26 / $4,786.30	Facility		$831.76	$1,318.26	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $478.63 / $660.69	Facility		$457.09	$478.63	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $691.83	Professional		$354.81	$354.81	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $1,230.27	Professional		$562.34	$1,000.00	$1,230.27
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 $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $549.54	Professional		$389.05	$389.05	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $549.54 / $954.99	Facility		$389.05	$549.54	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $501.19	Professional		$263.03	$338.84	$501.19