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 / $205.62 / $307.45	Professional		$186.26	$205.62	$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 $3.50 / $166.91 / $186.26	Professional		$3.50	$166.91	$186.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.02 / $591.02 / $1,113.83	Facility		$307.02	$591.02	$1,113.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $294.63 / $440.58	Professional		$123.76	$294.63	$440.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $411.23 / $637.66	Professional		$254.00	$411.23	$637.66
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 / $181.23 / $282.48	Professional		$101.60	$181.23	$282.48