Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.70 / $615.41 / $878.09	Facility		$307.70	$615.41	$878.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.94 / $307.70 / $476.95	Professional		$288.94	$307.70	$476.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $506.58 / $1,622.00 / $4,963.97	Facility		$506.58	$1,622.00	$4,963.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $220.08 / $245.60	Professional		$2.98	$220.08	$245.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.85 / $916.80 / $1,727.32	Facility		$516.85	$916.80	$1,727.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.97 / $417.00 / $633.35	Professional		$168.97	$417.00	$633.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $382.76 / $544.11 / $793.94	Professional		$382.76	$544.11	$793.94
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 $487.83 / $487.83 / $487.83	Professional		$487.83	$487.83	$487.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $510.34 / $510.34 / $562.88	Professional		$510.34	$510.34	$562.88
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $225.15 / $375.25	Professional		$157.61	$225.15	$375.25