Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.96 / $452.61 / $738.32	Facility		$231.96	$452.61	$738.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $231.96 / $359.54	Professional		$217.82	$231.96	$359.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.40 / $1,189.29 / $4,123.33	Facility		$373.40	$1,189.29	$4,123.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $217.82 / $429.98	Professional		$4.50	$217.82	$429.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.62 / $691.65 / $1,302.94	Facility		$389.62	$691.65	$1,302.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.29 / $314.14 / $477.74	Professional		$127.29	$314.14	$477.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $495.04 / $1,092.13	Professional		$297.02	$495.04	$1,092.13
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 $367.74 / $367.74 / $367.74	Professional		$367.74	$367.74	$367.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $384.72 / $384.72 / $424.32	Professional		$384.72	$384.72	$424.32
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $282.88	Professional		$118.81	$169.73	$282.88