Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.18 / $208.49 / $246.19	Facility		$199.18	$208.49	$246.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.85 / $218.09 / $262.08	Professional		$175.85	$218.09	$262.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.31 / $542.08 / $1,124.16	Facility		$247.31	$542.08	$1,124.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $98.00 / $156.54	Professional		$47.88	$98.00	$156.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $478.00 / $478.00	Facility		$212.14	$478.00	$478.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $271.70	Professional		$146.27	$146.27	$271.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.65 / $277.20 / $533.25	Professional		$187.65	$277.20	$533.25
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 $271.04 / $272.20 / $302.83	Professional		$271.04	$272.20	$302.83
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 $174.40 / $251.47 / $437.94	Professional		$174.40	$251.47	$437.94