Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.92 / $426.57 / $975.45	Facility		$302.92	$426.57	$975.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.92 / $328.34 / $366.53	Professional		$302.92	$328.34	$366.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,098.69 / $1,858.79 / $11,713.88	Facility		$1,098.69	$1,858.79	$11,713.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $637.58 / $720.05	Professional		$418.00	$637.58	$720.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $328.34 / $328.34	Facility		$328.34	$328.34	$328.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $604.79	Professional		$328.34	$328.34	$604.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $476.09 / $3,531.00	Professional		$150.00	$476.09	$3,531.00
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 $426.84 / $426.84 / $426.84	Professional		$426.84	$426.84	$426.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.80 / $404.32 / $433.20	Professional		$288.80	$404.32	$433.20
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $348.04 / $390.72	Professional		$328.34	$348.04	$390.72