Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.18 / $114.18 / $127.41	Facility		$114.18	$114.18	$127.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $114.18 / $202.07	Professional		$95.31	$114.18	$202.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $257.10 / $652.22	Facility		$131.66	$257.10	$652.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $124.29 / $209.23	Professional		$66.72	$124.29	$209.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.04 / $124.15 / $382.59	Facility		$74.04	$124.15	$382.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $128.18 / $200.43	Professional		$78.73	$128.18	$200.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $180.80 / $474.33	Professional		$122.49	$180.80	$474.33
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 $123.60 / $124.12 / $144.76	Professional		$123.60	$124.12	$144.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.76 / $2,500.00	Professional		$32.34	$50.76	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.91 / $184.91 / $332.96	Professional		$115.91	$184.91	$332.96