Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.70 / $607.91 / $878.09	Facility		$307.70	$607.91	$878.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $307.70 / $450.30	Professional		$159.19	$307.70	$450.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $506.58 / $1,622.00 / $4,963.97	Facility		$506.58	$1,622.00	$4,963.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $258.92 / $288.94	Professional		$3.50	$258.92	$288.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.19 / $834.54 / $1,727.32	Facility		$158.19	$834.54	$1,727.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $450.30 / $633.35	Professional		$104.45	$450.30	$633.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $525.35 / $778.08	Professional		$375.25	$525.35	$778.08
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 $487.83 / $487.83 / $487.83	Professional		$487.83	$487.83	$487.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $510.34 / $562.88	Professional		$62.31	$510.34	$562.88
United Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $157.61 / $306.20	Professional		$51.28	$157.61	$306.20