Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $707.95	Facility		$338.84	$338.84	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $707.95	Professional		$251.19	$346.74	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,318.26 / $4,786.30	Facility		$831.76	$1,318.26	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $794.33	Facility		$446.68	$446.68	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $776.25	Professional		$323.59	$323.59	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $933.25	Professional		$588.84	$741.31	$933.25
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 $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $512.86	Professional		$363.08	$363.08	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $549.54 / $933.25	Facility		$380.19	$549.54	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $512.86	Professional		$257.04	$346.74	$512.86