Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.78 / $457.56 / $652.86	Facility		$228.78	$457.56	$652.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $228.78 / $334.80	Professional		$139.50	$228.78	$334.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.65 / $1,200.89 / $3,690.77	Facility		$376.65	$1,200.89	$3,690.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $192.51 / $214.83	Professional		$3.50	$192.51	$214.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.74 / $620.28 / $1,285.07	Facility		$217.74	$620.28	$1,285.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $340.16 / $471.19	Professional		$142.79	$340.16	$471.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $334.80 / $504.99	Professional		$197.85	$334.80	$504.99
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 $362.70 / $362.70 / $362.70	Professional		$362.70	$362.70	$362.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $379.44 / $418.50	Professional		$29.50	$379.44	$418.50
United Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $117.18 / $232.18	Professional		$76.73	$117.18	$232.18