Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $616.60	Facility		$302.00	$302.00	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $602.56	Professional		$263.03	$316.23	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,174.90 / $4,168.69	Facility		$724.44	$1,174.90	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $676.08	Facility		$398.11	$398.11	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $660.69	Professional		$295.12	$295.12	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $707.95	Professional		$489.78	$549.54	$707.95
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 $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $524.81	Professional		$371.54	$371.54	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $489.78 / $891.25	Facility		$363.08	$489.78	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $457.09	Professional		$234.42	$302.00	$457.09