Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.98 / $297.98 / $297.98	Facility		$297.98	$297.98	$297.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.86 / $320.89 / $600.08	Professional		$268.86	$320.89	$600.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $718.68 / $1,215.88 / $5,180.14	Facility		$718.68	$1,215.88	$5,180.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.56 / $457.56 / $475.86	Professional		$457.56	$457.56	$475.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $878.34	Facility		$382.03	$382.03	$878.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $697.88	Professional		$278.88	$382.03	$697.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $533.54 / $715.69 / $865.09	Professional		$533.54	$715.69	$865.09
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 $782.67 / $782.67 / $782.67	Professional		$782.67	$782.67	$782.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $317.64 / $453.78 / $476.46	Professional		$317.64	$453.78	$476.46
United Facility/Professional Professional Modifier Low / Median / High Price $250.30 / $300.36 / $527.39	Professional		$250.30	$300.36	$527.39