Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.19 / $505.12 / $707.17	Facility		$265.19	$505.12	$707.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.16 / $252.56 / $391.47	Professional		$237.16	$252.56	$391.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.80 / $1,325.72 / $4,074.40	Facility		$415.80	$1,325.72	$4,074.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $212.52 / $237.16	Professional		$3.50	$212.52	$237.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.59 / $684.48 / $1,417.60	Facility		$250.59	$684.48	$1,417.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $369.60 / $519.79	Professional		$146.25	$369.60	$519.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $314.16 / $462.00 / $686.26	Professional		$314.16	$462.00	$686.26
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 $400.40 / $400.40 / $400.40	Professional		$400.40	$400.40	$400.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $418.88 / $462.00	Professional		$22.99	$418.88	$462.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $161.24 / $256.32	Professional		$88.68	$161.24	$256.32