Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.67 / $487.87 / $575.79	Facility		$215.67	$487.87	$575.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $213.16 / $501.56	Professional		$200.62	$213.16	$501.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.56 / $1,311.18 / $3,317.45	Facility		$343.56	$1,311.18	$3,317.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $183.44 / $193.10	Professional		$3.50	$183.44	$193.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.72 / $607.46 / $1,154.03	Facility		$256.72	$607.46	$1,154.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.67 / $305.62 / $382.03	Professional		$254.67	$305.62	$382.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $376.17 / $1,000.53	Professional		$200.62	$376.17	$1,000.53
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 $326.01 / $326.01 / $326.01	Professional		$326.01	$326.01	$326.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.39 / $172.04 / $313.48	Professional		$125.39	$172.04	$313.48
United Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $150.47 / $250.78	Professional		$105.33	$150.47	$250.78