Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.85 / $804.24 / $3,439.04	Facility		$215.85	$804.24	$3,439.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $230.91 / $286.75	Professional		$158.51	$230.91	$286.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.10 / $1,643.48 / $3,823.24	Facility		$730.10	$1,643.48	$3,823.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.52 / $247.47 / $259.26	Professional		$222.52	$247.47	$259.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.35 / $692.23 / $1,484.21	Facility		$311.35	$692.23	$1,484.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $369.86 / $619.17	Professional		$262.68	$369.86	$619.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.52 / $336.57 / $2,294.55	Professional		$222.52	$336.57	$2,294.55
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 $262.98 / $270.41 / $306.39	Professional		$262.98	$270.41	$306.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.52 / $324.79 / $818.25	Professional		$185.52	$324.79	$818.25