Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.59 / $872.26 / $872.26	Facility		$691.59	$872.26	$872.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.92 / $646.59 / $872.26	Professional		$454.92	$646.59	$872.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.60 / $1,707.48 / $6,926.06	Facility		$847.60	$1,707.48	$6,926.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.46 / $713.96 / $1,140.41	Professional		$245.46	$713.96	$1,140.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.58 / $1,337.96 / $2,895.23	Facility		$791.58	$1,337.96	$2,895.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.56 / $897.51 / $1,278.83	Professional		$393.56	$897.51	$1,278.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $579.39 / $913.05 / $1,226.38	Professional		$579.39	$913.05	$1,226.38
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 $836.90 / $857.18 / $923.44	Professional		$836.90	$857.18	$923.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $208.91 / $901.28	Professional		$32.34	$208.91	$901.28
United Facility/Professional Professional Modifier Low / Median / High Price $432.26 / $657.45 / $1,213.32	Professional		$432.26	$657.45	$1,213.32