Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $262.39 / $455.49	Facility		$216.74	$262.39	$455.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $216.90 / $238.41	Professional		$216.74	$216.90	$238.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.77 / $825.66 / $3,937.62	Facility		$541.77	$825.66	$3,937.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $263.54 / $263.54	Professional		$233.36	$263.54	$263.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Facility		$216.90	$216.90	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $254.90	Professional		$216.90	$216.90	$254.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $206.06 / $325.35 / $553.30	Professional		$206.06	$325.35	$553.30
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 $281.97 / $281.97 / $281.97	Professional		$281.97	$281.97	$281.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $296.80 / $318.00	Professional		$212.00	$296.80	$318.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $229.41 / $242.93	Professional		$216.90	$229.41	$242.93