Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.88 / $461.22 / $743.10	Facility		$244.88	$461.22	$743.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.58 / $244.88 / $426.04	Professional		$215.58	$244.88	$426.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.31 / $915.69 / $3,613.63	Facility		$462.31	$915.69	$3,613.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.83 / $596.91 / $1,725.64	Facility		$400.83	$596.91	$1,725.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.50 / $334.39 / $582.02	Professional		$200.50	$334.39	$582.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.24 / $356.35 / $1,180.95	Professional		$230.24	$356.35	$1,180.95
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 $289.54 / $299.31 / $322.01	Professional		$289.54	$299.31	$322.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $43.54 / $336.87	Professional		$32.34	$43.54	$336.87
United Facility/Professional Professional Modifier Low / Median / High Price $247.44 / $368.29 / $556.34	Professional		$247.44	$368.29	$556.34