Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.36 / $396.72 / $566.04	Facility		$198.36	$396.72	$566.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $198.36 / $307.45	Professional		$186.26	$198.36	$307.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.40 / $1,290.89 / $3,199.94	Facility		$331.40	$1,290.89	$3,199.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $186.26 / $367.69	Professional		$4.50	$186.26	$367.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.19 / $601.25 / $1,113.83	Facility		$333.19	$601.25	$1,113.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $294.63 / $430.84	Professional		$123.76	$294.63	$430.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $423.33 / $893.08	Professional		$254.00	$423.33	$893.08
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 $314.47 / $314.47 / $314.47	Professional		$314.47	$314.47	$314.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.98 / $328.98 / $362.85	Professional		$328.98	$328.98	$362.85
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $152.40 / $282.48	Professional		$101.60	$152.40	$282.48