Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.35 / $480.95 / $717.31	Facility		$236.35	$480.95	$717.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $225.36 / $392.96	Professional		$175.00	$225.36	$392.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.02 / $1,163.91 / $3,635.63	Facility		$371.02	$1,163.91	$3,635.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $189.63 / $211.62	Professional		$3.50	$189.63	$211.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.98 / $611.41 / $1,265.71	Facility		$294.98	$611.41	$1,265.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $334.90 / $464.09	Professional		$140.63	$334.90	$464.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $432.17 / $707.20	Professional		$247.35	$432.17	$707.20
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 $357.28 / $357.28 / $357.28	Professional		$357.28	$357.28	$357.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $373.77 / $412.25	Professional		$44.25	$373.77	$412.25
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $274.83	Professional		$115.43	$164.90	$274.83