Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.20 / $540.40 / $771.05	Facility		$270.20	$540.40	$771.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.72 / $270.20 / $418.81	Professional		$253.72	$270.20	$418.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.83 / $1,395.46 / $4,358.89	Facility		$444.83	$1,395.46	$4,358.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $227.36 / $253.72	Professional		$3.50	$227.36	$253.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.94 / $732.63 / $1,517.36	Facility		$417.94	$732.63	$1,517.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $370.17 / $556.37	Professional		$149.18	$370.17	$556.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $576.64 / $1,173.15	Professional		$345.40	$576.64	$1,173.15
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 $428.36 / $428.36 / $428.36	Professional		$428.36	$428.36	$428.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $448.13 / $448.13 / $494.27	Professional		$448.13	$448.13	$494.27
United Facility/Professional Facility Modifier Low / Median / High Price $395.41 / $395.41 / $395.41	Facility		$395.41	$395.41	$395.41
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $330.01	Professional		$138.38	$197.71	$330.01