Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.49 / $295.49 / $295.49	Facility		$295.49	$295.49	$295.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.61 / $318.22 / $597.02	Professional		$266.61	$318.22	$597.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $713.91 / $1,207.81 / $5,136.83	Facility		$713.91	$1,207.81	$5,136.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.74 / $453.74 / $453.74	Professional		$453.74	$453.74	$453.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.20 / $386.20 / $875.63	Facility		$386.20	$386.20	$875.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $281.93 / $768.40	Professional		$281.93	$281.93	$768.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $567.16 / $772.37 / $928.62	Professional		$567.16	$772.37	$928.62
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 $776.13 / $776.13 / $776.13	Professional		$776.13	$776.13	$776.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $314.98 / $449.98 / $472.47	Professional		$314.98	$449.98	$472.47
United Facility/Professional Professional Modifier Low / Median / High Price $248.21 / $297.85 / $527.40	Professional		$248.21	$297.85	$527.40