Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.03 / $399.03 / $399.03	Facility		$399.03	$399.03	$399.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $399.03 / $625.52	Professional		$316.89	$399.03	$625.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $963.54 / $1,630.14 / $6,936.81	Facility		$963.54	$1,630.14	$6,936.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.72 / $612.72 / $612.72	Professional		$612.72	$612.72	$612.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $844.40	Facility		$418.79	$418.79	$844.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $418.79 / $934.50	Professional		$305.72	$418.79	$934.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $610.65 / $705.05 / $927.14	Professional		$610.65	$705.05	$927.14
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 $1,048.07 / $1,048.07 / $1,048.07	Professional		$1,048.07	$1,048.07	$1,048.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $455.12 / $650.17 / $682.68	Professional		$455.12	$650.17	$682.68
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $302.20 / $402.20 / $690.45	Professional		$302.20	$402.20	$690.45