Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.38 / $615.00 / $978.75	Facility		$384.38	$615.00	$978.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.56 / $300.00 / $337.50	Professional		$246.56	$300.00	$337.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.75 / $525.00 / $663.75	Facility		$438.75	$525.00	$663.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.51 / $916.80 / $1,725.83	Facility		$516.51	$916.80	$1,725.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.59 / $450.00 / $496.73	Professional		$414.59	$450.00	$496.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $506.25 / $787.50	Professional		$345.40	$506.25	$787.50
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 $487.50 / $487.50 / $487.50	Professional		$487.50	$487.50	$487.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $510.00 / $562.50	Professional		$510.00	$510.00	$562.50
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $225.00 / $375.00	Professional		$157.50	$225.00	$375.00