Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.24 / $383.76 / $547.55	Facility		$201.24	$383.76	$547.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $191.88 / $297.41	Professional		$175.50	$191.88	$297.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.89 / $990.99 / $3,095.49	Facility		$315.89	$990.99	$3,095.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $161.46 / $180.18	Professional		$3.50	$161.46	$180.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.65 / $519.97 / $1,076.59	Facility		$193.65	$519.97	$1,076.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $284.99 / $394.75	Professional		$119.62	$284.99	$394.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $238.68 / $329.94 / $491.40	Professional		$238.68	$329.94	$491.40
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 $304.20 / $304.20 / $304.20	Professional		$304.20	$304.20	$304.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $318.24 / $351.00	Professional		$29.50	$318.24	$351.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $140.40 / $234.00	Professional		$98.28	$140.40	$234.00