Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $125.50 / $363.85	Facility		$43.53	$125.50	$363.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $65.12 / $118.69	Professional		$39.47	$65.12	$118.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $424.02 / $924.85	Facility		$241.37	$424.02	$924.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $85.35 / $136.49	Professional		$55.67	$85.35	$136.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $80.79 / $130.88	Professional		$50.20	$80.79	$130.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $114.30 / $202.12	Professional		$60.96	$114.30	$202.12
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 $52.79 / $58.79 / $109.79	Professional		$52.79	$58.79	$109.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $126.68	Professional		$32.34	$32.34	$126.68
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 $64.31 / $90.52 / $156.58	Professional		$64.31	$90.52	$156.58