Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.10 / $368.19 / $458.74	Facility		$227.10	$368.19	$458.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $227.28 / $249.81	Professional		$227.10	$227.28	$249.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.25 / $945.00 / $3,698.63	Facility		$411.25	$945.00	$3,698.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.46 / $278.33 / $278.33	Professional		$246.46	$278.33	$278.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Facility		$227.28	$227.28	$227.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $278.74	Professional		$227.28	$227.28	$278.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.78 / $291.48 / $552.76	Professional		$207.78	$291.48	$552.76
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 $295.45 / $295.45 / $295.45	Professional		$295.45	$295.45	$295.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $310.39 / $332.57	Professional		$221.71	$310.39	$332.57
United Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $365.82 / $505.84	Facility		$221.71	$365.82	$505.84
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $240.92 / $262.33	Professional		$227.28	$240.92	$262.33