Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.14 / $446.34 / $665.68	Facility		$209.14	$446.34	$665.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.39 / $209.14 / $324.17	Professional		$196.39	$209.14	$324.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.31 / $1,102.43 / $3,373.98	Facility		$344.31	$1,102.43	$3,373.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.63 / $567.30 / $1,173.39	Facility		$323.63	$567.30	$1,173.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $310.39 / $430.24	Professional		$124.46	$310.39	$430.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $267.80 / $408.08 / $637.77	Professional		$267.80	$408.08	$637.77
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 $331.57 / $331.57 / $331.57	Professional		$331.57	$331.57	$331.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.87 / $346.87 / $382.58	Professional		$346.87	$346.87	$382.58
United Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $143.13 / $260.26	Professional		$107.12	$143.13	$260.26