Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.50 / $226.97 / $226.97	Facility		$197.50	$226.97	$226.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $221.17 / $265.58	Professional		$165.05	$221.17	$265.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.20 / $318.00 / $813.53	Facility		$181.20	$318.00	$813.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $96.33 / $183.43	Professional		$37.25	$96.33	$183.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.61 / $177.94 / $498.89	Facility		$96.61	$177.94	$498.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $113.35 / $177.52	Professional		$71.66	$113.35	$177.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $302.74 / $479.12	Professional		$133.24	$302.74	$479.12
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 $112.26 / $244.84 / $311.43	Professional		$112.26	$244.84	$311.43
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 $94.61 / $289.58 / $472.27	Professional		$94.61	$289.58	$472.27