Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.53 / $320.00 / $851.97	Facility		$145.53	$320.00	$851.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $256.67 / $397.83	Professional		$256.67	$256.67	$397.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.10 / $1,976.37 / $4,597.63	Facility		$417.10	$1,976.37	$4,597.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.40 / $751.40 / $751.40	Professional		$751.40	$751.40	$751.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $174.72 / $300.72	Professional		$121.35	$174.72	$300.72
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 $185.60 / $185.60 / $185.60	Professional		$185.60	$185.60	$185.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $408.22	Professional		$267.37	$267.37	$408.22