Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $645.65	Facility		$316.23	$316.23	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $645.65	Professional		$309.03	$371.54	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $4,365.16	Facility		$776.25	$1,230.27	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $724.44	Facility		$416.87	$416.87	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $707.95	Professional		$302.00	$302.00	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $1,288.25	Professional		$537.03	$1,047.13	$1,288.25
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 $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $478.63	Professional		$338.84	$338.84	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $512.86 / $1,047.13	Facility		$426.58	$512.86	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $524.81	Professional		$263.03	$316.23	$524.81