Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.20 / $315.20 / $315.20	Facility		$315.20	$315.20	$315.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.39 / $339.45 / $535.33	Professional		$284.39	$339.45	$535.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $761.61 / $1,288.51 / $5,479.52	Facility		$761.61	$1,288.51	$5,479.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $484.00 / $484.00	Professional		$484.00	$484.00	$484.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.94 / $397.94 / $700.52	Facility		$397.94	$397.94	$700.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $397.94 / $738.38	Professional		$290.50	$397.94	$738.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $541.30 / $740.95 / $904.51	Professional		$541.30	$740.95	$904.51
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 $827.89 / $827.89 / $827.89	Professional		$827.89	$827.89	$827.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $480.00 / $504.00	Professional		$336.00	$480.00	$504.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.76 / $317.70 / $557.86	Professional		$264.76	$317.70	$557.86