Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.60 / $459.20 / $655.20	Facility		$229.60	$459.20	$655.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $229.60 / $355.88	Professional		$215.60	$229.60	$355.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $1,210.30 / $3,704.00	Facility		$378.00	$1,210.30	$3,704.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $215.60 / $425.60	Professional		$4.50	$215.60	$425.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.66 / $622.69 / $1,289.54	Facility		$140.66	$622.69	$1,289.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $386.86 / $472.83	Professional		$143.28	$386.86	$472.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $476.00 / $1,315.84	Professional		$294.00	$476.00	$1,315.84
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 $364.00 / $364.00 / $364.00	Professional		$364.00	$364.00	$364.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $380.80 / $420.00	Professional		$29.50	$380.80	$420.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $168.00 / $288.39	Professional		$117.60	$168.00	$288.39