Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.92 / $466.18 / $760.45	Facility		$238.92	$466.18	$760.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $238.92 / $370.33	Professional		$218.52	$238.92	$370.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.59 / $1,202.51 / $4,246.93	Facility		$384.59	$1,202.51	$4,246.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $201.04 / $224.35	Professional		$3.50	$201.04	$224.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.30 / $712.13 / $1,341.65	Facility		$401.30	$712.13	$1,341.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.02 / $323.35 / $491.94	Professional		$131.02	$323.35	$491.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $378.77 / $555.04	Professional		$265.58	$378.77	$555.04
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 $378.77 / $378.77 / $378.77	Professional		$378.77	$378.77	$378.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $396.25 / $396.25 / $437.04	Professional		$396.25	$396.25	$437.04
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $174.82 / $291.80	Professional		$122.37	$174.82	$291.80