Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.57 / $365.26 / $628.14	Facility		$205.57	$365.26	$628.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.63 / $205.57 / $360.13	Professional		$180.63	$205.57	$360.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.04 / $674.39 / $2,790.70	Facility		$335.04	$674.39	$2,790.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $99.08 / $392.49	Professional		$40.11	$99.08	$392.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.75 / $495.50 / $1,418.63	Facility		$306.75	$495.50	$1,418.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $282.67 / $473.42	Professional		$154.69	$282.67	$473.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $192.06 / $295.52 / $929.60	Professional		$192.06	$295.52	$929.60
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 $244.31 / $251.69 / $272.19	Professional		$244.31	$251.69	$272.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $43.59 / $284.76	Professional		$32.34	$43.59	$284.76
United Facility/Professional Professional Modifier Low / Median / High Price $179.88 / $258.48 / $465.34	Professional		$179.88	$258.48	$465.34