Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.86 / $391.86 / $630.80	Facility		$391.86	$391.86	$630.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.41 / $375.01 / $443.04	Professional		$329.41	$375.01	$443.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.48 / $2,512.41 / $5,844.63	Facility		$428.48	$2,512.41	$5,844.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.52 / $399.06 / $456.07	Professional		$391.52	$399.06	$456.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.02 / $444.40 / $869.17	Facility		$401.02	$444.40	$869.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.48 / $560.32 / $794.93	Professional		$403.48	$560.32	$794.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $352.87 / $532.08 / $1,023.53	Professional		$352.87	$532.08	$1,023.53
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 $424.15 / $436.89 / $494.08	Professional		$424.15	$436.89	$494.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,500.00	Professional		$32.34	$32.34	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.07 / $440.39 / $696.03	Professional		$291.07	$440.39	$696.03