Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.55 / $301.55 / $301.55	Facility		$301.55	$301.55	$301.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.56 / $301.55 / $499.88	Professional		$265.56	$301.55	$499.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.22 / $1,232.02 / $5,242.26	Facility		$728.22	$1,232.02	$5,242.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.05 / $463.05 / $463.05	Professional		$463.05	$463.05	$463.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $666.90	Facility		$401.27	$401.27	$666.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $401.27 / $706.50	Professional		$292.93	$401.27	$706.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.03 / $572.94 / $708.91	Professional		$489.03	$572.94	$708.91
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 $792.05 / $792.05 / $792.05	Professional		$792.05	$792.05	$792.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.28 / $530.40 / $556.91	Professional		$371.28	$530.40	$556.91
United Facility/Professional Professional Modifier Low / Median / High Price $231.96 / $302.45 / $521.79	Professional		$231.96	$302.45	$521.79