Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.65 / $342.65 / $342.65	Facility		$342.65	$342.65	$342.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.17 / $342.65 / $581.96	Professional		$309.17	$342.65	$581.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $826.80 / $1,398.80 / $5,956.75	Facility		$826.80	$1,398.80	$5,956.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.16 / $526.16 / $526.16	Professional		$526.16	$526.16	$526.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $761.54	Facility		$432.60	$432.60	$761.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $432.60 / $802.50	Professional		$315.80	$432.60	$802.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.46 / $811.75 / $990.93	Professional		$588.46	$811.75	$990.93
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 $900.00 / $900.00 / $900.00	Professional		$900.00	$900.00	$900.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $365.26 / $521.79 / $547.89	Professional		$365.26	$521.79	$547.89
United Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $456.41 / $520.39	Facility		$260.79	$456.41	$520.39
United Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $345.39 / $592.91	Professional		$287.83	$345.39	$592.91