Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.68 / $285.14 / $521.14	Facility		$82.68	$285.14	$521.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $272.00 / $410.20	Professional		$240.00	$272.00	$410.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.15 / $2,237.76 / $4,481.10	Facility		$1,046.15	$2,237.76	$4,481.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.29 / $274.29 / $274.29	Professional		$274.29	$274.29	$274.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $244.41 / $335.39 / $482.91	Professional		$244.41	$335.39	$482.91
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 $335.39 / $335.39 / $335.39	Professional		$335.39	$335.39	$335.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.36 / $215.36 / $270.88	Professional		$215.36	$215.36	$270.88
United Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $282.83 / $309.58	Professional		$257.99	$282.83	$309.58