Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $130.19	Facility		$113.25	$113.25	$130.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $110.16 / $132.33	Professional		$97.35	$110.16	$132.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.71 / $371.59 / $854.19	Facility		$173.71	$371.59	$854.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $146.99 / $182.93	Professional		$78.61	$146.99	$182.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $100.63 / $130.49	Facility		$100.63	$100.63	$130.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $163.10 / $248.01	Professional		$107.26	$163.10	$248.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.35 / $203.86 / $414.20	Professional		$148.35	$203.86	$414.20
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 $155.94 / $157.66 / $183.68	Professional		$155.94	$157.66	$183.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.02 / $2,500.00	Professional		$32.34	$60.02	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $164.07 / $245.27	Professional		$125.20	$164.07	$245.27