Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.26 / $488.80 / $864.07	Facility		$135.26	$488.80	$864.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $136.03 / $165.00	Professional		$102.52	$136.03	$165.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.25 / $553.25 / $1,124.16	Facility		$412.25	$553.25	$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 $127.22 / $478.00 / $478.00	Facility		$127.22	$478.00	$478.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $262.35	Professional		$88.53	$88.53	$262.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.65 / $277.20 / $966.53	Professional		$187.65	$277.20	$966.53
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 $156.21 / $238.67 / $437.63	Professional		$156.21	$238.67	$437.63