Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.00 / $486.00 / $702.00	Facility		$246.00	$486.00	$702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $246.00 / $381.30	Professional		$231.00	$246.00	$381.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $1,270.50 / $3,968.58	Facility		$405.00	$1,270.50	$3,968.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $207.00 / $231.00	Professional		$3.50	$207.00	$231.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.55 / $666.82 / $1,380.37	Facility		$380.55	$666.82	$1,380.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $360.00 / $506.14	Professional		$146.41	$360.00	$506.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $525.00 / $1,153.78	Professional		$315.00	$525.00	$1,153.78
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 $390.00 / $390.00 / $390.00	Professional		$390.00	$390.00	$390.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $450.00	Professional		$408.00	$408.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $181.23 / $315.30	Professional		$126.00	$181.23	$315.30