Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $244.90 / $551.76	Facility		$72.48	$244.90	$551.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $244.90 / $290.81	Professional		$244.90	$244.90	$290.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.44 / $1,710.38 / $3,978.86	Facility		$297.44	$1,710.38	$3,978.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.12 / $306.12 / $306.12	Professional		$306.12	$306.12	$306.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $237.95 / $375.23 / $566.82	Professional		$237.95	$375.23	$566.82
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 $508.18 / $508.18 / $508.18	Professional		$508.18	$508.18	$508.18
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 $255.10 / $255.10 / $285.70	Professional		$255.10	$255.10	$285.70