Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.11 / $394.97 / $668.85	Facility		$219.11	$394.97	$668.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.49 / $229.93 / $417.56	Professional		$192.49	$229.93	$417.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.71 / $779.24 / $3,058.98	Facility		$481.71	$779.24	$3,058.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $145.34 / $489.90	Professional		$40.52	$145.34	$489.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.72 / $534.22 / $1,524.52	Facility		$345.72	$534.22	$1,524.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $300.98 / $506.12	Professional		$204.94	$300.98	$506.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.07 / $320.10 / $739.25	Professional		$220.07	$320.10	$739.25
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 $260.08 / $268.20 / $289.83	Professional		$260.08	$268.20	$289.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.04 / $303.20	Professional		$32.34	$44.04	$303.20
United Facility/Professional Professional Modifier Low / Median / High Price $210.16 / $304.99 / $482.19	Professional		$210.16	$304.99	$482.19