Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.94 / $499.88 / $713.26	Facility		$249.94	$499.88	$713.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $249.94 / $387.41	Professional		$234.70	$249.94	$387.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.49 / $1,317.56 / $4,032.14	Facility		$411.49	$1,317.56	$4,032.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $210.32 / $234.70	Professional		$3.50	$210.32	$234.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.78 / $678.06 / $1,402.71	Facility		$386.78	$678.06	$1,402.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $371.24 / $514.33	Professional		$155.86	$371.24	$514.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $320.05 / $497.74 / $926.54	Professional		$320.05	$497.74	$926.54
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 $396.25 / $396.25 / $396.25	Professional		$396.25	$396.25	$396.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $414.54 / $457.22	Professional		$29.50	$414.54	$457.22
United Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $182.89 / $304.81	Professional		$128.02	$182.89	$304.81