Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.86 / $313.27 / $797.11	Facility		$281.86	$313.27	$797.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.91 / $294.22 / $436.88	Professional		$232.91	$294.22	$436.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.08 / $1,108.28 / $4,718.54	Facility		$655.08	$1,108.28	$4,718.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.68 / $416.78 / $416.78	Professional		$326.68	$416.78	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $600.26	Facility		$321.89	$336.03	$600.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $641.98	Professional		$245.30	$245.30	$641.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $439.84 / $575.80 / $767.75	Professional		$439.84	$575.80	$767.75
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 $712.91 / $712.91 / $712.91	Professional		$712.91	$712.91	$712.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $442.27 / $464.38	Professional		$309.58	$442.27	$464.38
United Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $273.58 / $576.95	Professional		$203.66	$273.58	$576.95