Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.99 / $901.99 / $986.35	Facility		$901.99	$901.99	$986.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $88.76 / $122.59	Professional		$70.44	$88.76	$122.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $258.77 / $453.38	Facility		$244.40	$258.77	$453.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $85.20 / $109.18	Professional		$83.38	$85.20	$109.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $101.77 / $200.00	Facility		$50.00	$101.77	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $111.73 / $174.11	Professional		$79.36	$111.73	$174.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $62.96 / $185.61	Professional		$45.25	$62.96	$185.61
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 $50.79 / $51.16 / $54.55	Professional		$50.79	$51.16	$54.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $98.33 / $155.61	Professional		$73.20	$98.33	$155.61