Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.20 / $527.22 / $860.02	Facility		$270.20	$527.22	$860.02
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 $434.95 / $1,359.93 / $4,802.91	Facility		$434.95	$1,359.93	$4,802.91
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 / $805.07 / $1,517.36	Facility		$417.94	$805.07	$1,517.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $382.51 / $556.37	Professional		$153.08	$382.51	$556.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $537.76 / $1,208.38	Professional		$345.40	$537.76	$1,208.38
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 $329.51 / $329.51 / $329.51	Facility		$329.51	$329.51	$329.51
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $330.01	Professional		$138.38	$197.71	$330.01