Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.93 / $278.02 / $465.96	Facility		$236.93	$278.02	$465.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $231.54 / $367.24	Professional		$195.53	$231.54	$367.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $2,109.29 / $4,600.64	Facility		$273.41	$2,109.29	$4,600.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.01 / $241.91 / $320.12	Professional		$227.01	$241.91	$320.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.58 / $289.75 / $554.38	Facility		$258.58	$289.75	$554.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.65 / $279.20 / $388.27	Professional		$209.65	$279.20	$388.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.36 / $305.38 / $712.64	Professional		$215.36	$305.38	$712.64
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 $254.51 / $265.14 / $283.57	Professional		$254.51	$265.14	$283.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $327.20	Professional		$32.34	$32.34	$327.20
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $916.00 / $3,606.00	Facility		$204.00	$916.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.97 / $252.28 / $414.43	Professional		$180.97	$252.28	$414.43