Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $575.44	Facility		$275.42	$275.42	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $467.74	Professional		$181.97	$275.42	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $3,890.45	Facility		$676.08	$1,071.52	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $467.74	Facility		$363.08	$363.08	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $549.54	Professional		$263.03	$263.03	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $645.65	Professional		$407.38	$537.03	$645.65
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 $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $416.87	Professional		$295.12	$295.12	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $676.08	Facility		$275.42	$446.68	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $407.38	Professional		$186.21	$275.42	$407.38