Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.59 / $235.16 / $563.75	Facility		$87.59	$235.16	$563.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $79.16 / $153.12	Professional		$43.78	$79.16	$153.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.38 / $264.81 / $802.10	Facility		$148.38	$264.81	$802.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $107.96 / $183.51	Professional		$63.96	$107.96	$183.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.52 / $126.52 / $141.24	Facility		$126.52	$126.52	$141.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $91.94 / $162.78	Professional		$53.91	$91.94	$162.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $134.97 / $318.88	Professional		$71.65	$134.97	$318.88
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 $62.62 / $66.86 / $126.71	Professional		$62.62	$66.86	$126.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $146.21	Professional		$32.34	$32.34	$146.21
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 $74.45 / $100.69 / $179.55	Professional		$74.45	$100.69	$179.55