Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.95 / $366.26 / $450.77	Facility		$247.95	$366.26	$450.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.08 / $342.80 / $451.32	Professional		$190.08	$342.80	$451.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.02 / $2,669.26 / $3,779.67	Facility		$1,310.02	$2,669.26	$3,779.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.18 / $266.17 / $436.42	Professional		$161.18	$266.17	$436.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $223.23 / $497.87	Professional		$135.82	$223.23	$497.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.50 / $343.05 / $820.74	Professional		$176.50	$343.05	$820.74
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 $152.22 / $163.01 / $320.61	Professional		$152.22	$163.01	$320.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $369.93	Professional		$32.34	$32.34	$369.93
United Facility/Professional Professional Modifier Low / Median / High Price $217.99 / $312.72 / $535.37	Professional		$217.99	$312.72	$535.37