Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.00 / $492.00 / $702.00	Facility		$246.00	$492.00	$702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $246.00 / $360.00	Professional		$180.00	$246.00	$360.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $1,291.29 / $3,968.58	Facility		$405.00	$1,291.29	$3,968.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $207.00 / $231.00	Professional		$3.50	$207.00	$231.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.47 / $666.82 / $1,380.37	Facility		$148.47	$666.82	$1,380.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $360.00 / $506.14	Professional		$98.05	$360.00	$506.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $435.00 / $630.00	Professional		$306.00	$435.00	$630.00
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 $390.00 / $390.00 / $390.00	Professional		$390.00	$390.00	$390.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $408.00 / $450.00	Professional		$22.99	$408.00	$450.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $315.00 / $741.00	Facility		$300.00	$315.00	$741.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $126.00 / $249.66	Professional		$48.18	$126.00	$249.66