Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.32 / $250.20 / $11,560.12	Facility		$223.32	$250.20	$11,560.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $269.83	Professional		$245.30	$245.30	$269.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.37 / $1,039.60 / $5,151.79	Facility		$680.37	$1,039.60	$5,151.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.64 / $279.64 / $293.22	Professional		$279.64	$279.64	$293.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Facility		$245.30	$245.30	$245.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $289.27	Professional		$245.30	$245.30	$289.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.51 / $304.17 / $483.90	Professional		$208.51	$304.17	$483.90
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 $318.89 / $318.89 / $318.89	Professional		$318.89	$318.89	$318.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.86 / $345.83 / $370.53	Professional		$229.86	$345.83	$370.53
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $277.19	Professional		$245.30	$245.30	$277.19