Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.30 / $415.93 / $640.25	Facility		$192.30	$415.93	$640.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.46 / $196.85 / $296.24	Professional		$179.46	$196.85	$296.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.30 / $987.03 / $3,083.12	Facility		$319.30	$987.03	$3,083.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $160.82 / $179.46	Professional		$3.50	$160.82	$179.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.80 / $531.44 / $1,073.61	Facility		$295.80	$531.44	$1,073.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.23 / $284.12 / $424.61	Professional		$121.23	$284.12	$424.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $237.73 / $396.22 / $1,130.88	Professional		$237.73	$396.22	$1,130.88
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 $302.99 / $302.99 / $302.99	Professional		$302.99	$302.99	$302.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $316.98 / $349.61	Professional		$29.50	$316.98	$349.61
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $161.12 / $251.13	Professional		$97.89	$161.12	$251.13