Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.34 / $391.34 / $391.34	Facility		$391.34	$391.34	$391.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.80 / $391.34 / $597.80	Professional		$313.80	$391.34	$597.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.46 / $1,597.86 / $6,803.21	Facility		$944.46	$1,597.86	$6,803.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.91 / $600.91 / $600.91	Professional		$600.91	$600.91	$600.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $824.19	Facility		$564.36	$564.36	$824.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $564.36 / $916.50	Professional		$411.98	$564.36	$916.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $711.61 / $874.02 / $1,106.95	Professional		$711.61	$874.02	$1,106.95
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 $1,027.88 / $1,027.88 / $1,027.88	Professional		$1,027.88	$1,027.88	$1,027.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.36 / $637.66 / $669.55	Professional		$446.36	$637.66	$669.55
United Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $394.46 / $692.63	Professional		$277.85	$394.46	$692.63