Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.42 / $250.12 / $421.73	Facility		$184.42	$250.12	$421.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $219.82 / $404.00	Professional		$187.08	$219.82	$404.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.82 / $1,813.52 / $3,631.57	Facility		$847.82	$1,813.52	$3,631.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.85 / $239.85 / $239.85	Professional		$239.85	$239.85	$239.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Facility		$241.37	$241.37	$241.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.08 / $238.91 / $401.19	Professional		$198.08	$238.91	$401.19
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 / $216.33	Professional		$30.00	$30.00	$216.33
United Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $254.30 / $258.61	Professional		$215.51	$254.30	$258.61