Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.46 / $420.42 / $715.17	Facility		$233.46	$420.42	$715.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.67 / $233.46 / $410.03	Professional		$205.67	$233.46	$410.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.28 / $733.04 / $3,143.49	Facility		$399.28	$733.04	$3,143.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $129.41 / $484.43	Professional		$52.39	$129.41	$484.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.50 / $551.52 / $1,572.17	Facility		$343.50	$551.52	$1,572.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $321.82 / $535.32	Professional		$192.50	$321.82	$535.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.63 / $337.07 / $1,062.67	Professional		$220.63	$337.07	$1,062.67
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 $278.66 / $286.82 / $309.91	Professional		$278.66	$286.82	$309.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $56.93 / $324.20	Professional		$32.34	$56.93	$324.20
United Facility/Professional Facility Modifier Low / Median / High Price $466.42 / $466.42 / $565.58	Facility		$466.42	$466.42	$565.58
United Facility/Professional Professional Modifier Low / Median / High Price $212.49 / $311.77 / $528.61	Professional		$212.49	$311.77	$528.61