Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.40 / $411.92 / $732.54	Facility		$221.40	$411.92	$732.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.81 / $229.43 / $308.94	Professional		$200.81	$229.43	$308.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.43 / $734.44 / $3,049.41	Facility		$360.43	$734.44	$3,049.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $177.64 / $198.24	Professional		$3.50	$177.64	$198.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.54 / $629.40 / $1,185.30	Facility		$326.54	$629.40	$1,185.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $313.45 / $492.56	Professional		$131.69	$313.45	$492.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $270.32 / $465.98 / $931.83	Professional		$270.32	$465.98	$931.83
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 $334.69 / $334.69 / $334.69	Professional		$334.69	$334.69	$334.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $189.23 / $386.18	Professional		$88.22	$189.23	$386.18
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $157.87 / $300.64	Professional		$108.13	$157.87	$300.64