Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.15 / $489.27 / $708.13	Facility		$248.15	$489.27	$708.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $248.15 / $363.14	Professional		$97.26	$248.15	$363.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $231.33 / $3,180.72	Facility		$78.40	$231.33	$3,180.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $208.81 / $233.02	Professional		$3.50	$208.81	$233.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.77 / $673.24 / $1,393.77	Facility		$96.77	$673.24	$1,393.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $147.60 / $464.59	Professional		$26.13	$147.60	$464.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $408.54 / $576.49	Professional		$99.00	$408.54	$576.49
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 $393.41 / $393.41 / $393.41	Professional		$393.41	$393.41	$393.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $222.42 / $453.93	Professional		$18.82	$222.42	$453.93
United Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $302.62	Facility		$302.62	$302.62	$302.62
United Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $127.10 / $302.62	Professional		$32.31	$127.10	$302.62