Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.70 / $379.70 / $379.70	Facility		$379.70	$379.70	$379.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.99 / $379.70 / $513.00	Professional		$258.99	$379.70	$513.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $882.45 / $1,492.95 / $6,356.27	Facility		$882.45	$1,492.95	$6,356.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.14 / $561.42 / $561.42	Professional		$476.14	$561.42	$561.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $477.88 / $645.71	Facility		$477.88	$477.88	$645.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $348.85 / $856.50	Professional		$348.85	$348.85	$856.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $590.98 / $847.39 / $1,050.39	Professional		$590.98	$847.39	$1,050.39
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 $960.35 / $960.35 / $960.35	Professional		$960.35	$960.35	$960.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $418.49 / $597.85 / $627.74	Professional		$418.49	$597.85	$627.74
United Facility/Professional Professional Modifier Low / Median / High Price $236.47 / $357.11 / $690.63	Professional		$236.47	$357.11	$690.63