Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.18 / $349.18 / $349.18	Facility		$349.18	$349.18	$349.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.05 / $360.04 / $666.74	Professional		$315.05	$360.04	$666.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.70 / $1,425.70 / $6,070.28	Facility		$842.70	$1,425.70	$6,070.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.16 / $536.16 / $536.16	Professional		$536.16	$536.16	$536.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $1,034.72	Facility		$448.56	$448.56	$1,034.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $448.56 / $817.88	Professional		$327.45	$448.56	$817.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $628.52 / $838.01 / $1,002.02	Professional		$628.52	$838.01	$1,002.02
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 $917.14 / $917.14 / $917.14	Professional		$917.14	$917.14	$917.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $372.21 / $531.73 / $558.31	Professional		$372.21	$531.73	$558.31
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $293.30 / $351.96 / $623.23	Professional		$293.30	$351.96	$623.23