Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.23 / $379.23 / $379.23	Facility		$379.23	$379.23	$379.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.07 / $381.88 / $578.45	Professional		$299.07	$381.88	$578.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $915.84 / $1,549.44 / $6,592.59	Facility		$915.84	$1,549.44	$6,592.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.32 / $582.32 / $582.32	Professional		$582.32	$582.32	$582.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $735.58	Facility		$528.47	$528.47	$735.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $528.47 / $888.38	Professional		$385.78	$528.47	$888.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $651.28 / $823.72 / $1,043.94	Professional		$651.28	$823.72	$1,043.94
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 $996.07 / $996.07 / $996.07	Professional		$996.07	$996.07	$996.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $404.25 / $577.50 / $606.37	Professional		$404.25	$577.50	$606.37
United Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $382.25 / $671.19	Professional		$264.33	$382.25	$671.19