Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $157.41 / $173.30	Facility		$138.47	$157.41	$173.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $157.41 / $198.03	Professional		$135.16	$157.41	$198.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.99 / $598.29 / $1,693.43	Facility		$303.99	$598.29	$1,693.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $100.63 / $100.63	Facility		$100.63	$100.63	$100.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $222.72 / $340.25	Professional		$139.80	$222.72	$340.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.76 / $298.80 / $706.31	Professional		$198.76	$298.80	$706.31
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 $203.91 / $206.05 / $249.20	Professional		$203.91	$206.05	$249.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.71 / $2,500.00	Professional		$32.34	$53.71	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $210.53 / $341.44	Professional		$150.37	$210.53	$341.44