Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $321.08 / $855.65	Facility		$94.35	$321.08	$855.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $107.81 / $393.34	Professional		$53.31	$107.81	$393.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $519.35 / $1,132.78	Facility		$263.05	$519.35	$1,132.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $118.34 / $189.24	Professional		$68.84	$118.34	$189.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $118.53 / $209.54	Professional		$64.92	$118.53	$209.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $161.63 / $454.48	Professional		$78.72	$161.63	$454.48
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 $63.61 / $72.15 / $153.04	Professional		$63.61	$72.15	$153.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $173.05	Professional		$32.34	$32.34	$173.05
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $154.34 / $241.97	Professional		$96.90	$154.34	$241.97