Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.38 / $336.38 / $336.38	Facility		$336.38	$336.38	$336.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $121.42 / $247.25	Professional		$110.69	$121.42	$247.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.56 / $251.56 / $251.56	Facility		$251.56	$251.56	$251.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $99.19 / $110.69	Professional		$3.50	$99.19	$110.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $193.29 / $269.89	Professional		$70.08	$193.29	$269.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $251.56 / $590.07	Professional		$172.50	$251.56	$590.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $211.31 / $215.63	Professional		$195.50	$211.31	$215.63
United Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $152.38 / $254.87	Professional		$86.25	$152.38	$254.87