Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.75 / $459.75 / $459.75	Facility		$459.75	$459.75	$459.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.17 / $316.10 / $405.88	Professional		$256.17	$316.10	$405.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $864.82 / $1,085.56 / $1,679.21	Facility		$864.82	$1,085.56	$1,679.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.14 / $1,024.14 / $1,024.14	Professional		$1,024.14	$1,024.14	$1,024.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.09 / $370.09 / $370.09	Facility		$370.09	$370.09	$370.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.44 / $414.15 / $631.02	Professional		$291.44	$414.15	$631.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $496.98 / $965.19	Professional		$345.40	$496.98	$965.19
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 $392.48 / $403.74 / $430.72	Professional		$392.48	$403.74	$430.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $487.04	Professional		$32.34	$32.34	$487.04
United Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $349.35 / $591.38	Professional		$272.18	$349.35	$591.38