Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.61 / $481.93 / $609.57	Facility		$213.61	$481.93	$609.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $213.61 / $331.10	Professional		$130.25	$213.61	$331.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $111.68 / $2,499.31	Facility		$38.86	$111.68	$2,499.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $179.75 / $200.59	Professional		$3.50	$179.75	$200.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $647.63 / $1,198.70	Facility		$182.03	$647.63	$1,198.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $317.39 / $399.57	Professional		$133.19	$317.39	$399.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $265.70 / $416.80 / $736.30	Professional		$265.70	$416.80	$736.30
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 $338.65 / $338.65 / $338.65	Professional		$338.65	$338.65	$338.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $260.50 / $382.94	Professional		$130.25	$260.50	$382.94
United Facility/Professional Facility Modifier Low / Median / High Price $109.41 / $521.00 / $521.00	Facility		$109.41	$521.00	$521.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $260.50	Professional		$109.41	$156.30	$260.50