Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.56 / $492.80 / $803.88	Facility		$252.56	$492.80	$803.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.51 / $252.56 / $369.60	Professional		$202.51	$252.56	$369.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.56 / $1,294.89 / $4,489.43	Facility		$406.56	$1,294.89	$4,489.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $237.16 / $468.16	Professional		$4.50	$237.16	$468.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.94 / $753.05 / $1,417.60	Facility		$390.94	$753.05	$1,417.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $357.48 / $519.79	Professional		$143.18	$357.48	$519.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.39 / $477.40 / $686.26	Professional		$323.39	$477.40	$686.26
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 $400.40 / $400.40 / $400.40	Professional		$400.40	$400.40	$400.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $418.88 / $418.88 / $462.00	Professional		$418.88	$418.88	$462.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $184.80 / $308.00	Professional		$129.36	$184.80	$308.00