Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.19 / $616.72 / $949.29	Facility		$297.19	$616.72	$949.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $291.87 / $439.22	Professional		$266.08	$291.87	$439.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.43 / $1,844.11 / $4,571.42	Facility		$473.43	$1,844.11	$4,571.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $238.44 / $266.08	Professional		$3.50	$238.44	$266.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $438.30 / $844.31 / $1,590.33	Facility		$438.30	$844.31	$1,590.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.63 / $427.39 / $629.05	Professional		$179.63	$427.39	$629.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $352.48 / $587.47 / $3,035.06	Professional		$352.48	$587.47	$3,035.06
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 $449.24 / $449.24 / $449.24	Professional		$449.24	$449.24	$449.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $469.98 / $518.36	Professional		$29.50	$469.98	$518.36
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $224.62 / $403.54	Professional		$145.13	$224.62	$403.54