Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.07 / $645.91 / $794.49	Facility		$278.07	$645.91	$794.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.37 / $274.52 / $645.91	Professional		$258.37	$274.52	$645.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.45 / $1,723.48 / $4,272.32	Facility		$442.45	$1,723.48	$4,272.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $248.68 / $322.95	Professional		$3.50	$248.68	$322.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.42 / $797.62 / $1,486.09	Facility		$337.42	$797.62	$1,486.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.96 / $371.62 / $491.99	Professional		$210.96	$371.62	$491.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $484.44 / $1,194.95	Professional		$322.95	$484.44	$1,194.95
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 $419.85 / $419.85 / $419.85	Professional		$419.85	$419.85	$419.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.70 / $221.55 / $403.70	Professional		$139.70	$221.55	$403.70
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $219.61 / $352.80	Professional		$135.63	$219.61	$352.80