Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.16 / $390.32 / $556.91	Facility		$195.16	$390.32	$556.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $195.16 / $302.50	Professional		$178.50	$195.16	$302.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.30 / $1,007.93 / $3,148.40	Facility		$321.30	$1,007.93	$3,148.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $164.22 / $183.26	Professional		$3.50	$164.22	$183.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.15 / $528.82 / $1,095.96	Facility		$251.15	$528.82	$1,095.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $285.60 / $401.85	Professional		$116.19	$285.60	$401.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $242.76 / $333.20 / $499.80	Professional		$242.76	$333.20	$499.80
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 $309.39 / $309.39 / $309.39	Professional		$309.39	$309.39	$309.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $323.68 / $357.00	Professional		$22.99	$323.68	$357.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $130.90 / $238.00	Professional		$88.92	$130.90	$238.00