Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.76 / $82.76 / $708.48	Facility		$82.76	$82.76	$708.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $82.76 / $82.76	Professional		$52.99	$82.76	$82.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.20 / $803.48 / $1,529.69	Facility		$502.20	$803.48	$1,529.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.99 / $268.61 / $818.04	Facility		$152.99	$268.61	$818.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $72.26 / $164.54	Professional		$55.94	$72.26	$164.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $103.42 / $243.70	Professional		$65.15	$103.42	$243.70
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 $70.58 / $73.11 / $79.56	Professional		$70.58	$73.11	$79.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $46.14 / $2,500.00	Professional		$44.89	$46.14	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $157.59 / $277.81	Professional		$95.64	$157.59	$277.81