Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.56 / $553.54 / $906.18	Facility		$298.56	$553.54	$906.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.61 / $298.56 / $519.54	Professional		$261.61	$298.56	$519.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.64 / $914.59 / $4,519.30	Facility		$343.64	$914.59	$4,519.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.85 / $767.84 / $2,183.61	Facility		$503.85	$767.84	$2,183.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.85 / $407.78 / $694.01	Professional		$193.85	$407.78	$694.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $246.21 / $424.92 / $1,413.81	Professional		$246.21	$424.92	$1,413.81
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 $351.29 / $363.60 / $392.68	Professional		$351.29	$363.60	$392.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.59 / $410.80	Professional		$32.34	$39.59	$410.80
United Facility/Professional Professional Modifier Low / Median / High Price $238.13 / $383.49 / $652.00	Professional		$238.13	$383.49	$652.00