Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.36 / $439.73 / $717.31	Facility		$225.36	$439.73	$717.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $225.36 / $349.31	Professional		$211.62	$225.36	$349.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.77 / $1,134.28 / $4,005.96	Facility		$362.77	$1,134.28	$4,005.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $189.63 / $211.62	Professional		$3.50	$189.63	$211.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.54 / $672.04 / $1,265.71	Facility		$378.54	$672.04	$1,265.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $305.33 / $464.09	Professional		$123.72	$305.33	$464.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.57 / $467.21 / $783.86	Professional		$288.57	$467.21	$783.86
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 $357.28 / $357.28 / $357.28	Professional		$357.28	$357.28	$357.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $373.77 / $412.25	Professional		$373.77	$373.77	$412.25
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $274.83	Professional		$115.43	$164.90	$274.83