Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.15 / $399.36 / $576.86	Facility		$202.15	$399.36	$576.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.89 / $202.15 / $313.33	Professional		$184.89	$202.15	$313.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.80 / $1,044.01 / $3,261.10	Facility		$332.80	$1,044.01	$3,261.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $170.10 / $189.82	Professional		$3.50	$170.10	$189.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.83 / $548.08 / $1,134.67	Facility		$312.83	$548.08	$1,134.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $300.32 / $416.05	Professional		$120.24	$300.32	$416.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $332.80 / $469.62	Professional		$246.52	$332.80	$469.62
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 $320.48 / $320.48 / $320.48	Professional		$320.48	$320.48	$320.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $335.27 / $369.78	Professional		$22.99	$335.27	$369.78
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $247.14	Professional		$103.54	$147.91	$247.14