Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.99 / $421.76 / $726.59	Facility		$250.99	$421.76	$726.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.41 / $421.76 / $789.44	Professional		$351.41	$421.76	$789.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $981.03 / $1,659.73 / $7,060.43	Facility		$981.03	$1,659.73	$7,060.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.84 / $623.64 / $623.64	Professional		$496.84	$623.64	$623.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $852.10	Facility		$488.53	$488.53	$852.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $620.42 / $852.10	Professional		$356.63	$620.42	$852.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $698.64 / $925.50 / $1,283.84	Professional		$698.64	$925.50	$1,283.84
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 $1,066.75 / $1,066.75 / $1,066.75	Professional		$1,066.75	$1,066.75	$1,066.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $463.23 / $661.77 / $694.85	Professional		$463.23	$661.77	$694.85
United Facility/Professional Professional Modifier Low / Median / High Price $299.81 / $409.38 / $798.54	Professional		$299.81	$409.38	$798.54