Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.52 / $307.44 / $522.21	Facility		$258.52	$307.44	$522.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $258.64 / $307.44	Professional		$258.52	$258.64	$307.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.78 / $881.73 / $3,962.03	Facility		$387.78	$881.73	$3,962.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.56 / $303.30 / $303.30	Professional		$268.56	$303.30	$303.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Facility		$258.64	$258.64	$258.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $304.22	Professional		$258.64	$258.64	$304.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $297.44 / $608.44	Professional		$219.84	$297.44	$608.44
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 $336.23 / $336.23 / $336.23	Professional		$336.23	$336.23	$336.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $348.50 / $373.40	Professional		$248.93	$348.50	$373.40
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $273.80 / $289.68	Professional		$258.64	$273.80	$289.68