Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.00 / $435.02 / $982.34	Facility		$284.00	$435.02	$982.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.10 / $344.99 / $591.19	Professional		$261.10	$344.99	$591.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,241.85 / $2,656.40 / $5,319.44	Facility		$1,241.85	$2,656.40	$5,319.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.67 / $372.67 / $372.67	Professional		$372.67	$372.67	$372.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Facility		$368.58	$368.58	$368.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $409.09 / $543.49	Professional		$200.00	$409.09	$543.49
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 $30.00 / $30.00 / $308.78	Professional		$30.00	$30.00	$308.78
United Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $388.33 / $404.63	Professional		$329.09	$388.33	$404.63