Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.99 / $667.98 / $893.18	Facility		$312.99	$667.98	$893.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.85 / $312.99 / $422.54	Professional		$190.85	$312.99	$422.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.29 / $1,649.93 / $5,049.37	Facility		$515.29	$1,649.93	$5,049.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $263.37 / $293.91	Professional		$3.50	$263.37	$293.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.11 / $848.98 / $1,757.10	Facility		$248.11	$848.98	$1,757.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $458.04 / $644.27	Professional		$170.08	$458.04	$644.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $610.72 / $998.77	Professional		$381.70	$610.72	$998.77
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 $496.21 / $496.21 / $496.21	Professional		$496.21	$496.21	$496.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $519.11 / $572.54	Professional		$22.99	$519.11	$572.54
United Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $160.31 / $311.47	Professional		$83.44	$160.31	$311.47