Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.82 / $563.54 / $815.63	Facility		$285.82	$563.54	$815.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.39 / $285.82 / $443.02	Professional		$268.39	$285.82	$443.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.55 / $1,476.14 / $4,610.93	Facility		$470.55	$1,476.14	$4,610.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $240.51 / $268.39	Professional		$3.50	$240.51	$268.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.04 / $775.15 / $1,605.22	Facility		$442.04	$775.15	$1,605.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $424.65 / $588.58	Professional		$178.36	$424.65	$588.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $355.53 / $592.54 / $1,451.47	Professional		$355.53	$592.54	$1,451.47
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 $453.13 / $453.13 / $453.13	Professional		$453.13	$453.13	$453.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $474.04 / $522.84	Professional		$29.50	$474.04	$522.84
United Facility/Professional Facility Modifier Low / Median / High Price $474.05 / $474.05 / $474.05	Facility		$474.05	$474.05	$474.05
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $217.27 / $395.04	Professional		$146.40	$217.27	$395.04