Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $385.42 / $668.91	Facility		$317.42	$385.42	$668.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $318.52 / $349.16	Professional		$317.42	$318.52	$349.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $819.37 / $1,248.72 / $5,955.21	Facility		$819.37	$1,248.72	$5,955.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.86 / $395.11 / $395.11	Professional		$349.86	$395.11	$395.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $318.52 / $318.52	Facility		$318.52	$318.52	$318.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $374.18	Professional		$318.52	$318.52	$374.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.60 / $419.81 / $662.00	Professional		$302.60	$419.81	$662.00
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 $414.09 / $414.09 / $414.09	Professional		$414.09	$414.09	$414.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $460.11	Professional		$30.00	$30.00	$460.11
United Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $332.09 / $354.59	Professional		$313.00	$332.09	$354.59