Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $831.76	Facility		$398.11	$398.11	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $724.44	Professional		$309.03	$398.11	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $5,623.41	Facility		$977.24	$1,548.82	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $870.96	Facility		$416.87	$416.87	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $851.14	Professional		$309.03	$309.03	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $933.25	Professional		$602.56	$691.83	$933.25
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 $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $645.65	Professional		$457.09	$457.09	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $1,096.48	Facility		$446.68	$645.65	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $602.56	Professional		$302.00	$398.11	$602.56