Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $323.95 / $483.16	Facility		$151.80	$323.95	$483.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $156.35 / $235.29	Professional		$144.38	$156.35	$235.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.91 / $800.19 / $2,448.83	Facility		$249.91	$800.19	$2,448.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $142.54 / $281.38	Professional		$4.50	$142.54	$281.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.18 / $548.76 / $851.75	Facility		$342.18	$548.76	$851.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $255.52 / $336.91	Professional		$94.64	$255.52	$336.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $323.95 / $884.27	Professional		$200.00	$323.95	$884.27
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 $240.66 / $240.66 / $240.66	Professional		$240.66	$240.66	$240.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.76 / $251.76 / $277.68	Professional		$251.76	$251.76	$277.68
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $111.07 / $185.12	Professional		$77.75	$111.07	$185.12