Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $464.86 / $773.80	Facility		$383.07	$464.86	$773.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.07 / $391.07 / $434.47	Professional		$383.07	$391.07	$434.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.69 / $1,702.02 / $6,149.55	Facility		$740.69	$1,702.02	$6,149.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.85 / $444.79 / $498.00	Professional		$393.85	$444.79	$498.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $391.07 / $391.07	Facility		$391.07	$391.07	$391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $442.72	Professional		$391.07	$391.07	$442.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $359.13 / $547.50 / $919.80	Professional		$359.13	$547.50	$919.80
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 $508.39 / $508.39 / $508.39	Professional		$508.39	$508.39	$508.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.83 / $509.36 / $545.75	Professional		$363.83	$509.36	$545.75
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $405.62 / $435.34	Professional		$391.07	$405.62	$435.34