Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.20 / $345.20 / $345.20	Facility		$345.20	$345.20	$345.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $125.39 / $253.73	Professional		$113.59	$125.39	$253.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.16 / $258.16 / $258.16	Facility		$258.16	$258.16	$258.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $101.79 / $113.59	Professional		$3.50	$101.79	$113.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $215.05 / $315.42	Professional		$71.94	$215.05	$315.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $281.02 / $646.47	Professional		$150.47	$281.02	$646.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.63 / $216.85 / $221.28	Professional		$200.63	$216.85	$221.28
United Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $153.47 / $262.73	Professional		$88.51	$153.47	$262.73