Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $475.85 / $475.85	Facility		$130.19	$475.85	$475.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.32 / $432.90 / $558.24	Professional		$247.32	$432.90	$558.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.30 / $282.45 / $931.64	Facility		$146.30	$282.45	$931.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $82.28 / $145.58	Professional		$31.92	$82.28	$145.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.72 / $150.63 / $422.35	Facility		$81.72	$150.63	$422.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $96.89 / $149.84	Professional		$59.03	$96.89	$149.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $141.57 / $330.30	Professional		$95.14	$141.57	$330.30
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 $95.29 / $95.91 / $116.97	Professional		$95.29	$95.91	$116.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,500.00	Professional		$32.34	$32.34	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.89 / $528.99 / $906.39	Professional		$86.89	$528.99	$906.39