Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.76 / $424.12 / $689.93	Facility		$216.76	$424.12	$689.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.54 / $223.26 / $427.38	Professional		$203.54	$223.26	$427.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.42 / $515.00 / $2,778.32	Facility		$323.42	$515.00	$2,778.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $182.39 / $203.54	Professional		$3.50	$182.39	$203.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.27 / $587.38 / $1,216.57	Facility		$335.27	$587.38	$1,216.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $287.45 / $446.08	Professional		$110.75	$287.45	$446.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $277.56 / $396.51 / $673.01	Professional		$277.56	$396.51	$673.01
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 $343.64 / $343.64 / $343.64	Professional		$343.64	$343.64	$343.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $194.29 / $396.51	Professional		$61.84	$194.29	$396.51
United Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $253.14 / $370.08	Professional		$158.60	$253.14	$370.08