Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.10 / $385.10 / $398.93	Facility		$385.10	$385.10	$398.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.33 / $388.17 / $599.39	Professional		$328.33	$388.17	$599.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $895.17 / $1,514.47 / $6,446.66	Facility		$895.17	$1,514.47	$6,446.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.54 / $569.41 / $569.41	Professional		$497.54	$569.41	$569.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.57 / $450.57 / $830.45	Facility		$450.57	$450.57	$830.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $450.57 / $868.50	Professional		$328.92	$450.57	$868.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $636.85 / $861.63 / $1,048.94	Professional		$636.85	$861.63	$1,048.94
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 $974.01 / $974.01 / $974.01	Professional		$974.01	$974.01	$974.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $422.96 / $604.23 / $634.44	Professional		$422.96	$604.23	$634.44
United Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $373.78 / $656.31	Professional		$285.26	$373.78	$656.31