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 / $1,418.29 / $4,358.89	Facility		$444.83	$1,418.29	$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 $453.85 / $805.07 / $1,517.36	Facility		$453.85	$805.07	$1,517.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.37 / $366.17 / $556.37	Professional		$148.37	$366.17	$556.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $494.27 / $741.40	Professional		$345.40	$494.27	$741.40
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 Professional Modifier Low / Median / High Price $138.38 / $197.71 / $346.32	Professional		$138.38	$197.71	$346.32