Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.48 / $530.96 / $796.44	Facility		$265.48	$530.96	$796.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $259.00 / $372.31	Professional		$114.43	$259.00	$372.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.06 / $1,393.53 / $4,282.80	Facility		$437.06	$1,393.53	$4,282.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $223.39 / $249.29	Professional		$3.50	$223.39	$249.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.23 / $774.42 / $1,490.56	Facility		$226.23	$774.42	$1,490.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $356.13 / $472.58	Professional		$89.67	$356.13	$472.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $453.25 / $764.49	Professional		$259.00	$453.25	$764.49
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 $420.88 / $420.88 / $420.88	Professional		$420.88	$420.88	$420.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $161.88 / $237.96	Professional		$54.93	$161.88	$237.96
United Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $339.94 / $799.66	Facility		$323.75	$339.94	$799.66
United Facility/Professional Professional Modifier Low / Median / High Price $95.92 / $138.60 / $323.75	Professional		$95.92	$138.60	$323.75