Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.88 / $318.87 / $560.00	Facility		$231.88	$318.87	$560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $250.00 / $455.68	Professional		$213.86	$250.00	$455.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $976.28 / $2,088.32 / $4,181.85	Facility		$976.28	$2,088.32	$4,181.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.24 / $287.24 / $287.24	Professional		$287.24	$287.24	$287.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Facility		$265.58	$265.58	$265.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $332.82 / $506.50	Professional		$200.00	$332.82	$506.50
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 $174.03 / $174.03 / $238.02	Professional		$174.03	$174.03	$238.02
United Facility/Professional Professional Modifier Low / Median / High Price $237.13 / $279.81 / $291.51	Professional		$237.13	$279.81	$291.51