Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.82 / $659.48 / $940.96	Facility		$345.82	$659.48	$940.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.63 / $339.63 / $511.10	Professional		$309.63	$339.63	$511.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $550.90 / $1,839.33 / $5,319.44	Facility		$550.90	$1,839.33	$5,319.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $277.45 / $309.63	Professional		$3.50	$277.45	$309.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.17 / $982.49 / $1,850.92	Facility		$510.17	$982.49	$1,850.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.09 / $497.59 / $732.14	Professional		$209.09	$497.59	$732.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $410.16 / $683.60 / $1,210.15	Professional		$410.16	$683.60	$1,210.15
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 $522.76 / $522.76 / $522.76	Professional		$522.76	$522.76	$522.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $546.88 / $603.17	Professional		$44.25	$546.88	$603.17
United Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $263.33 / $469.59	Professional		$168.89	$263.33	$469.59