Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.13 / $527.30 / $593.29	Facility		$245.13	$527.30	$593.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.47 / $233.72 / $498.80	Professional		$219.47	$233.72	$498.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.98 / $464.59 / $2,734.58	Facility		$189.98	$464.59	$2,734.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $196.67 / $219.47	Professional		$3.50	$196.67	$219.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.17 / $681.79 / $1,311.87	Facility		$199.17	$681.79	$1,311.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $313.52 / $415.94	Professional		$65.50	$313.52	$415.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.82 / $399.04 / $683.46	Professional		$197.82	$399.04	$683.46
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 $370.54 / $370.54 / $370.54	Professional		$370.54	$370.54	$370.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $142.52 / $285.02	Professional		$47.10	$142.52	$285.02
United Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $119.71 / $285.02	Professional		$67.81	$119.71	$285.02