Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.47 / $309.20 / $504.38	Facility		$158.47	$309.20	$504.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $158.47 / $245.63	Professional		$148.80	$158.47	$245.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $812.44 / $2,816.78	Facility		$255.09	$812.44	$2,816.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $148.80 / $293.74	Professional		$4.50	$148.80	$293.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.11 / $472.48 / $888.98	Facility		$245.11	$472.48	$888.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $224.00 / $325.95	Professional		$89.83	$224.00	$325.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.58 / $522.02 / $738.48	Professional		$212.58	$522.02	$738.48
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.82 / $262.82 / $289.88	Professional		$262.82	$262.82	$289.88
United Facility/Professional Facility Modifier Low / Median / High Price $231.90 / $231.90 / $231.90	Facility		$231.90	$231.90	$231.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $197.48	Professional		$81.17	$115.95	$197.48