Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.85 / $449.12 / $551.15	Facility		$133.85	$449.12	$551.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.79 / $634.40 / $1,559.20	Professional		$596.79	$634.40	$1,559.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $139.90 / $1,468.55	Facility		$59.01	$139.90	$1,468.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $93.86 / $194.14	Professional		$35.49	$93.86	$194.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.51 / $239.53 / $413.03	Facility		$131.51	$239.53	$413.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $66.18 / $9,999.99	Professional		$66.18	$66.18	$9,999.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,500.00 / $2,500.00	Professional		$32.34	$1,500.00	$2,500.00