Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.88 / $368.88 / $368.88	Facility		$368.88	$368.88	$368.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.68 / $394.97 / $552.80	Professional		$293.68	$394.97	$552.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.40 / $1,506.40 / $6,412.62	Facility		$890.40	$1,506.40	$6,412.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.41 / $566.41 / $566.41	Professional		$566.41	$566.41	$566.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $723.38	Facility		$410.92	$410.92	$723.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $410.92 / $864.00	Professional		$299.97	$410.92	$864.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $633.50 / $819.82 / $1,043.41	Professional		$633.50	$819.82	$1,043.41
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 $968.88 / $968.88 / $968.88	Professional		$968.88	$968.88	$968.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $485.96 / $694.24 / $728.95	Professional		$485.96	$694.24	$728.95
United Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $371.81 / $638.28	Professional		$273.39	$371.81	$638.28