Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $106.13 / $219.54	Facility		$55.49	$106.13	$219.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $56.49 / $105.33	Professional		$30.03	$56.49	$105.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $237.50 / $613.65	Facility		$96.58	$237.50	$613.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $69.93 / $131.06	Professional		$40.34	$69.93	$131.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $84.33 / $94.15	Facility		$84.33	$84.33	$94.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $65.98 / $120.50	Professional		$36.33	$65.98	$120.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $95.54 / $202.72	Professional		$46.81	$95.54	$202.72
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 $38.64 / $42.43 / $90.27	Professional		$38.64	$42.43	$90.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $104.16	Professional		$32.34	$32.34	$104.16
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,592.00	Facility		$165.00	$891.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $80.30 / $136.58	Professional		$58.62	$80.30	$136.58