Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.36 / $492.36 / $492.36	Facility		$492.36	$492.36	$492.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $342.89 / $435.95	Professional		$274.27	$342.89	$435.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.85 / $1,156.59 / $1,796.73	Facility		$935.85	$1,156.59	$1,796.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.75 / $390.06 / $517.30	Professional		$381.75	$390.06	$517.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.08 / $395.08 / $395.08	Facility		$395.08	$395.08	$395.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.08 / $442.40 / $674.24	Professional		$315.08	$442.40	$674.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $365.43 / $531.54 / $850.29	Professional		$365.43	$531.54	$850.29
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 $421.07 / $431.87 / $460.10	Professional		$421.07	$431.87	$460.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $520.26	Professional		$32.34	$32.34	$520.26
United Facility/Professional Professional Modifier Low / Median / High Price $293.95 / $391.93 / $618.96	Professional		$293.95	$391.93	$618.96