Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.01 / $550.02 / $875.34	Facility		$275.01	$550.02	$875.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $283.26 / $426.27	Professional		$258.24	$283.26	$426.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.47 / $1,789.71 / $4,436.56	Facility		$459.47	$1,789.71	$4,436.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $231.41 / $258.24	Professional		$3.50	$231.41	$258.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.42 / $819.57 / $1,544.17	Facility		$425.42	$819.57	$1,544.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.35 / $414.71 / $610.79	Professional		$174.35	$414.71	$610.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.09 / $570.15 / $1,284.13	Professional		$342.09	$570.15	$1,284.13
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 $435.99 / $435.99 / $435.99	Professional		$435.99	$435.99	$435.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $456.12 / $503.07	Professional		$29.50	$456.12	$503.07
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $213.64 / $391.66	Professional		$140.86	$213.64	$391.66