Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $245.47 / $11,481.54	Facility		$154.88	$245.47	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $281.84	Professional		$245.47	$245.47	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $346.74	Facility		$177.83	$213.80	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $281.84	Professional		$245.47	$245.47	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $478.63	Professional		$204.17	$302.00	$478.63
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 $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $407.38	Facility		$245.47	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $269.15	Professional		$125.89	$245.47	$269.15