Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.64 / $370.64 / $370.64	Facility		$370.64	$370.64	$370.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.09 / $393.08 / $589.40	Professional		$339.09	$393.08	$589.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $895.17 / $1,514.47 / $6,443.26	Facility		$895.17	$1,514.47	$6,443.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.12 / $569.12 / $569.12	Professional		$569.12	$569.12	$569.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $852.39	Facility		$484.42	$484.42	$852.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $484.42 / $868.13	Professional		$353.63	$484.42	$868.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $599.07 / $710.28 / $898.61	Professional		$599.07	$710.28	$898.61
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 $973.49 / $973.49 / $973.49	Professional		$973.49	$973.49	$973.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $395.08 / $564.41 / $592.63	Professional		$395.08	$564.41	$592.63
United Facility/Professional Professional Modifier Low / Median / High Price $285.10 / $373.58 / $641.32	Professional		$285.10	$373.58	$641.32