Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.62 / $263.42 / $434.25	Facility		$258.62	$263.42	$434.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.32 / $258.62 / $346.12	Professional		$227.32	$258.62	$346.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.52 / $2,863.28 / $5,128.85	Facility		$1,313.52	$2,863.28	$5,128.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.97 / $393.62 / $424.53	Professional		$284.97	$393.62	$424.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.69 / $404.69 / $404.69	Facility		$404.69	$404.69	$404.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $360.71 / $563.23	Professional		$261.14	$360.71	$563.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $366.69 / $936.12	Professional		$256.08	$366.69	$936.12
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 $299.20 / $311.55 / $340.50	Professional		$299.20	$311.55	$340.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $385.02	Professional		$32.34	$32.34	$385.02
United Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $358.74 / $578.23	Professional		$243.28	$358.74	$578.23