Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $794.33	Facility		$380.19	$380.19	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $794.33	Professional		$302.00	$407.38	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,513.56 / $5,370.32	Facility		$933.25	$1,513.56	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $912.01	Facility		$501.19	$501.19	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $891.25	Professional		$363.08	$363.08	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,122.02	Professional		$660.69	$891.25	$1,122.02
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 $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $630.96	Professional		$436.52	$436.52	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $616.60 / $1,122.02	Facility		$457.09	$616.60	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $616.60	Professional		$295.12	$389.05	$616.60