Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.92 / $519.98 / $874.08	Facility		$238.92	$519.98	$874.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $238.92 / $370.33	Professional		$218.52	$238.92	$370.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.33 / $1,233.92 / $3,854.33	Facility		$393.33	$1,233.92	$3,854.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $201.04 / $224.35	Professional		$3.50	$201.04	$224.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $647.55 / $1,341.65	Facility		$369.75	$647.55	$1,341.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.07 / $355.04 / $491.94	Professional		$149.07	$355.04	$491.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.19 / $482.12 / $931.83	Professional		$297.19	$482.12	$931.83
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 $378.77 / $378.77 / $378.77	Professional		$378.77	$378.77	$378.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $396.25 / $428.30	Professional		$29.50	$396.25	$428.30
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $174.82 / $291.80	Professional		$122.37	$174.82	$291.80