Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.14 / $351.14 / $351.14	Facility		$351.14	$351.14	$351.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.17 / $358.28 / $590.92	Professional		$300.17	$358.28	$590.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.47 / $1,433.77 / $6,104.21	Facility		$847.47	$1,433.77	$6,104.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.17 / $539.17 / $539.17	Professional		$539.17	$539.17	$539.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.01 / $420.01 / $832.85	Facility		$420.01	$420.01	$832.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.61 / $420.01 / $822.38	Professional		$306.61	$420.01	$822.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $603.03 / $799.38 / $993.23	Professional		$603.03	$799.38	$993.23
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 $922.29 / $922.29 / $922.29	Professional		$922.29	$922.29	$922.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $400.50 / $572.15 / $600.75	Professional		$400.50	$572.15	$600.75
United Facility/Professional Professional Modifier Low / Median / High Price $279.45 / $353.93 / $607.59	Professional		$279.45	$353.93	$607.59