Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.39 / $524.79 / $748.80	Facility		$262.39	$524.79	$748.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $270.27 / $406.72	Professional		$246.40	$270.27	$406.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,383.20 / $4,233.14	Facility		$432.00	$1,383.20	$4,233.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $246.40 / $486.40	Professional		$4.50	$246.40	$486.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.75 / $782.05 / $1,472.69	Facility		$440.75	$782.05	$1,472.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $389.62 / $539.99	Professional		$163.63	$389.62	$539.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $544.00 / $1,920.03	Professional		$336.00	$544.00	$1,920.03
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 $416.00 / $416.00 / $416.00	Professional		$416.00	$416.00	$416.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $435.20 / $435.20 / $480.00	Professional		$435.20	$435.20	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $192.00 / $320.00	Professional		$134.40	$192.00	$320.00