Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.28 / $483.44 / $695.88	Facility		$243.28	$483.44	$695.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $231.96 / $523.33	Professional		$112.28	$231.96	$523.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.88 / $1,198.01 / $3,742.14	Facility		$381.88	$1,198.01	$3,742.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $195.19 / $217.82	Professional		$3.50	$195.19	$217.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.95 / $629.11 / $1,302.94	Facility		$358.95	$629.11	$1,302.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.77 / $390.88 / $515.38	Professional		$144.77	$390.88	$515.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $480.90 / $1,092.13	Professional		$297.02	$480.90	$1,092.13
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 $367.74 / $367.74 / $367.74	Professional		$367.74	$367.74	$367.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $384.72 / $424.32	Professional		$44.25	$384.72	$424.32
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $282.88	Professional		$118.81	$169.73	$282.88