Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.28 / $507.35 / $782.37	Facility		$224.28	$507.35	$782.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.42 / $224.28 / $552.88	Professional		$203.42	$224.28	$552.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.28 / $1,192.83 / $3,449.91	Facility		$357.28	$1,192.83	$3,449.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $179.95 / $200.81	Professional		$3.50	$179.95	$200.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.70 / $637.05 / $1,200.19	Facility		$330.70	$637.05	$1,200.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $322.74 / $474.74	Professional		$135.53	$322.74	$474.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $266.01 / $443.34 / $990.23	Professional		$266.01	$443.34	$990.23
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 $339.03 / $339.03 / $339.03	Professional		$339.03	$339.03	$339.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $354.67 / $391.19	Professional		$62.31	$354.67	$391.19
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $195.38 / $304.54	Professional		$109.53	$195.38	$304.54