Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.58 / $507.93 / $843.03	Facility		$275.58	$507.93	$843.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.85 / $275.58 / $483.34	Professional		$242.85	$275.58	$483.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $753.48 / $1,728.29 / $3,891.04	Facility		$753.48	$1,728.29	$3,891.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $134.13 / $618.91	Professional		$57.71	$134.13	$618.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.58 / $770.80 / $2,249.05	Facility		$437.58	$770.80	$2,249.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.26 / $381.94 / $667.30	Professional		$230.26	$381.94	$667.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $264.57 / $404.40 / $1,339.89	Professional		$264.57	$404.40	$1,339.89
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 $328.58 / $338.95 / $365.31	Professional		$328.58	$338.95	$365.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $62.71 / $382.17	Professional		$32.34	$62.71	$382.17
United Facility/Professional Professional Modifier Low / Median / High Price $288.45 / $414.58 / $590.82	Professional		$288.45	$414.58	$590.82