Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.48 / $493.15 / $724.53	Facility		$246.48	$493.15	$724.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.16 / $241.51 / $374.34	Professional		$206.16	$241.51	$374.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.49 / $1,347.13 / $3,896.08	Facility		$403.49	$1,347.13	$3,896.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $203.22 / $226.78	Professional		$3.50	$203.22	$226.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.49 / $719.79 / $1,356.54	Facility		$373.49	$719.79	$1,356.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.07 / $364.34 / $536.59	Professional		$153.07	$364.34	$536.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $300.41 / $500.68 / $930.07	Professional		$300.41	$500.68	$930.07
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 $382.88 / $382.88 / $382.88	Professional		$382.88	$382.88	$382.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $400.55 / $441.78	Professional		$29.50	$400.55	$441.78
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $220.98 / $343.93	Professional		$123.70	$220.98	$343.93