Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.92 / $352.92 / $352.92	Facility		$352.92	$352.92	$352.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $359.71 / $570.36	Professional		$303.00	$359.71	$570.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.24 / $1,441.84 / $6,135.20	Facility		$852.24	$1,441.84	$6,135.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.91 / $541.91 / $541.91	Professional		$541.91	$541.91	$541.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $800.91	Facility		$472.30	$472.30	$800.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $472.30 / $826.50	Professional		$344.78	$472.30	$826.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $606.09 / $798.31 / $998.27	Professional		$606.09	$798.31	$998.27
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 $926.97 / $926.97 / $926.97	Professional		$926.97	$926.97	$926.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $402.52 / $575.04 / $603.79	Professional		$402.52	$575.04	$603.79
United Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $355.73 / $624.61	Professional		$282.08	$355.73	$624.61