Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.53 / $89.98 / $250.97	Facility		$42.53	$89.98	$250.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $41.94 / $76.05	Professional		$25.62	$41.94	$76.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $160.80 / $556.47	Facility		$74.40	$160.80	$556.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $50.78 / $86.04	Professional		$34.84	$50.78	$86.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $48.52 / $80.69	Professional		$30.49	$48.52	$80.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $65.58 / $154.46	Professional		$39.61	$65.58	$154.46
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 $33.81 / $36.79 / $58.93	Professional		$33.81	$36.79	$58.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.00	Professional		$32.34	$32.34	$68.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $52.53 / $89.06	Professional		$38.56	$52.53	$89.06