Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.14 / $382.14 / $382.14	Facility		$382.14	$382.14	$382.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.74 / $403.14 / $564.22	Professional		$299.74	$403.14	$564.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $922.20 / $1,560.20 / $6,643.19	Facility		$922.20	$1,560.20	$6,643.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.79 / $586.79 / $586.79	Professional		$586.79	$586.79	$586.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $747.11	Facility		$419.41	$419.41	$747.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $895.13	Professional		$306.17	$306.17	$895.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $656.28 / $849.30 / $1,080.93	Professional		$656.28	$849.30	$1,080.93
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 $1,003.72 / $1,003.72 / $1,003.72	Professional		$1,003.72	$1,003.72	$1,003.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.34 / $581.91 / $611.01	Professional		$407.34	$581.91	$611.01
United Facility/Professional Professional Modifier Low / Median / High Price $293.95 / $385.18 / $682.05	Professional		$293.95	$385.18	$682.05