Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $130.75 / $142.58	Facility		$130.19	$130.75	$142.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $123.07 / $150.93	Professional		$109.43	$123.07	$150.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.17 / $509.35 / $1,569.94	Facility		$295.17	$509.35	$1,569.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $100.63 / $148.80	Facility		$100.63	$100.63	$148.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $186.92 / $290.60	Professional		$118.93	$186.92	$290.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.05 / $240.42 / $585.85	Professional		$169.05	$240.42	$585.85
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 $179.10 / $181.39 / $223.25	Professional		$179.10	$181.39	$223.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $34.63 / $2,500.00	Professional		$32.34	$34.63	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $179.53 / $276.43	Professional		$138.69	$179.53	$276.43