Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.17 / $259.30 / $1,036.03	Facility		$97.17	$259.30	$1,036.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $106.71 / $219.32	Professional		$57.03	$106.71	$219.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.66 / $359.15 / $3,880.00	Facility		$176.66	$359.15	$3,880.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $176.38 / $799.39	Facility		$61.23	$176.38	$799.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $133.60 / $221.19	Professional		$70.73	$133.60	$221.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.85 / $175.01 / $490.09	Professional		$114.85	$175.01	$490.09
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 $129.53 / $131.81 / $142.19	Professional		$129.53	$131.81	$142.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $108.37 / $180.88	Professional		$66.09	$108.37	$180.88