Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $231.06 / $260.41	Facility		$130.19	$231.06	$260.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.99 / $208.33 / $267.30	Professional		$148.99	$208.33	$267.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.84 / $345.19 / $896.76	Facility		$177.84	$345.19	$896.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $113.98 / $218.50	Professional		$50.38	$113.98	$218.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.85 / $178.96 / $481.15	Facility		$107.85	$178.96	$481.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $135.84 / $210.10	Professional		$87.76	$135.84	$210.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.41 / $169.12 / $430.61	Professional		$123.41	$169.12	$430.61
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 $128.35 / $129.32 / $155.79	Professional		$128.35	$129.32	$155.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.15 / $2,500.00	Professional		$32.34	$38.15	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.24 / $275.73 / $482.80	Professional		$110.24	$275.73	$482.80