Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.11 / $482.16 / $786.52	Facility		$247.11	$482.16	$786.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.04 / $247.11 / $383.02	Professional		$232.04	$247.11	$383.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.78 / $1,243.73 / $4,392.51	Facility		$397.78	$1,243.73	$4,392.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $207.93 / $232.04	Professional		$3.50	$207.93	$232.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.07 / $736.87 / $1,387.81	Facility		$415.07	$736.87	$1,387.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.56 / $334.56 / $508.87	Professional		$135.56	$334.56	$508.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.42 / $527.36 / $1,065.70	Professional		$316.42	$527.36	$1,065.70
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 $391.76 / $391.76 / $391.76	Professional		$391.76	$391.76	$391.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $409.84 / $409.84 / $452.03	Professional		$409.84	$409.84	$452.03
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $301.35	Professional		$126.57	$180.81	$301.35