Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.63 / $168.63 / $373.65	Facility		$168.63	$168.63	$373.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $153.37 / $187.06	Professional		$79.11	$153.37	$187.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.30 / $668.66 / $1,555.52	Facility		$373.30	$668.66	$1,555.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.67 / $130.91 / $137.16	Professional		$117.67	$130.91	$137.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.24 / $216.50 / $869.17	Facility		$208.24	$216.50	$869.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.53 / $231.54 / $391.52	Professional		$164.53	$231.54	$391.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.67 / $179.71 / $685.89	Professional		$117.67	$179.71	$685.89
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 $139.06 / $142.41 / $162.10	Professional		$139.06	$142.41	$162.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,500.00	Professional		$32.34	$32.34	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $202.48 / $440.39	Professional		$96.97	$202.48	$440.39