Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.16 / $532.32 / $847.15	Facility		$266.16	$532.32	$847.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $266.16 / $389.50	Professional		$194.75	$266.16	$389.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.18 / $1,403.01 / $4,293.79	Facility		$438.18	$1,403.01	$4,293.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $223.96 / $249.93	Professional		$3.50	$223.96	$249.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.07 / $793.15 / $1,493.54	Facility		$447.07	$793.15	$1,493.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.26 / $360.97 / $547.63	Professional		$146.26	$360.97	$547.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $340.81 / $568.02 / $1,303.51	Professional		$340.81	$568.02	$1,303.51
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 $421.95 / $421.95 / $421.95	Professional		$421.95	$421.95	$421.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $441.43 / $441.43 / $486.87	Professional		$441.43	$441.43	$486.87
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $194.75 / $334.32	Professional		$136.32	$194.75	$334.32