Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.98 / $290.47 / $999.64	Facility		$165.98	$290.47	$999.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $165.98 / $253.31	Professional		$143.96	$165.98	$253.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $519.26 / $4,298.13	Facility		$167.65	$519.26	$4,298.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.32 / $482.28 / $2,193.08	Facility		$168.32	$482.28	$2,193.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.72 / $235.78 / $389.17	Professional		$152.72	$235.78	$389.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $339.06 / $617.16	Professional		$200.00	$339.06	$617.16
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 $272.48 / $285.45 / $305.83	Professional		$272.48	$285.45	$305.83
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 $160.69 / $256.30 / $392.06	Professional		$160.69	$256.30	$392.06