Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.90 / $450.90 / $848.82	Facility		$450.90	$450.90	$848.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.24 / $444.80 / $549.41	Professional		$389.24	$444.80	$549.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.48 / $3,453.41 / $8,033.68	Facility		$428.48	$3,453.41	$8,033.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.02 / $576.60 / $576.60	Professional		$495.02	$576.60	$576.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.02 / $524.92 / $869.17	Facility		$401.02	$524.92	$869.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.93 / $661.86 / $913.07	Professional		$474.93	$661.86	$913.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.42 / $672.70 / $2,858.46	Professional		$446.42	$672.70	$2,858.46
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 $536.28 / $552.71 / $624.65	Professional		$536.28	$552.71	$624.65
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 $337.27 / $515.61 / $845.73	Professional		$337.27	$515.61	$845.73