Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $285.77 / $459.73	Facility		$248.50	$285.77	$459.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $273.35	Professional		$248.50	$248.50	$273.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.04 / $932.76 / $4,448.37	Facility		$612.04	$932.76	$4,448.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $272.55 / $307.80	Professional		$272.55	$272.55	$307.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Facility		$248.50	$248.50	$248.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $286.94	Professional		$248.50	$248.50	$286.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $327.68 / $563.99	Professional		$236.08	$327.68	$563.99
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 $323.05 / $323.05 / $323.05	Professional		$323.05	$323.05	$323.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $243.63 / $341.08 / $365.45	Professional		$243.63	$341.08	$365.45
United Facility/Professional Facility Modifier Low / Median / High Price $248.34 / $248.34 / $248.34	Facility		$248.34	$248.34	$248.34
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $262.80 / $278.32	Professional		$248.50	$262.80	$278.32