Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.92 / $740.92 / $740.92	Facility		$740.92	$740.92	$740.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.38 / $508.28 / $631.92	Professional		$414.38	$508.28	$631.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,401.69 / $1,743.68 / $2,703.74	Facility		$1,401.69	$1,743.68	$2,703.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.92 / $580.30 / $770.06	Professional		$567.92	$580.30	$770.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.85 / $591.85 / $591.85	Facility		$591.85	$591.85	$591.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.90 / $658.17 / $1,016.23	Professional		$469.90	$658.17	$1,016.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $543.97 / $791.23 / $1,751.85	Professional		$543.97	$791.23	$1,751.85
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 $622.77 / $642.88 / $684.49	Professional		$622.77	$642.88	$684.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $774.00	Professional		$32.34	$32.34	$774.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.14 / $573.28 / $935.92	Professional		$439.14	$573.28	$935.92