Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.96 / $422.50 / $694.79	Facility		$414.96	$422.50	$694.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.37 / $414.96 / $520.76	Professional		$353.37	$414.96	$520.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,107.60 / $4,594.24 / $8,229.43	Facility		$2,107.60	$4,594.24	$8,229.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.87 / $628.29 / $689.80	Professional		$454.87	$628.29	$689.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.26 / $646.26 / $646.26	Facility		$646.26	$646.26	$646.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.48 / $574.22 / $898.31	Professional		$415.48	$574.22	$898.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $401.74 / $584.88 / $1,405.94	Professional		$401.74	$584.88	$1,405.94
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 $478.00 / $497.39 / $543.10	Professional		$478.00	$497.39	$543.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $614.12	Professional		$32.34	$32.34	$614.12
United Facility/Professional Professional Modifier Low / Median / High Price $384.83 / $565.26 / $889.54	Professional		$384.83	$565.26	$889.54