Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $521.62 / $47,316.31	Facility		$238.46	$521.62	$47,316.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $253.36	Professional		$238.46	$238.46	$253.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.26 / $450.66 / $2,910.51	Facility		$339.26	$450.66	$2,910.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.22 / $292.22 / $292.22	Professional		$292.22	$292.22	$292.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Facility		$253.36	$253.36	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $235.97 / $352.56 / $673.01	Professional		$235.97	$352.56	$673.01
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 $360.89 / $360.89 / $360.89	Professional		$360.89	$360.89	$360.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.42 / $2,500.00 / $2,500.00	Professional		$213.42	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $268.26	Professional		$248.39	$248.39	$268.26