Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.16 / $520.63 / $748.05	Facility		$267.16	$520.63	$748.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $267.16 / $414.10	Professional		$162.90	$267.16	$414.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.83 / $1,402.36 / $4,309.93	Facility		$439.83	$1,402.36	$4,309.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $224.80 / $250.87	Professional		$3.50	$224.80	$250.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.66 / $779.31 / $1,499.49	Facility		$227.66	$779.31	$1,499.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $358.38 / $475.21	Professional		$81.50	$358.38	$475.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $459.38 / $1,032.23	Professional		$260.64	$459.38	$1,032.23
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 $423.54 / $423.54 / $423.54	Professional		$423.54	$423.54	$423.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $179.19 / $407.25	Professional		$99.88	$179.19	$407.25
United Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $190.26 / $190.26	Facility		$190.26	$190.26	$190.26
United Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $136.84 / $325.80	Professional		$87.20	$136.84	$325.80