Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $85.62 / $154.62	Facility		$44.85	$85.62	$154.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $76.09 / $135.00	Professional		$39.82	$76.09	$135.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.15 / $264.32 / $723.95	Facility		$117.15	$264.32	$723.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $94.26 / $176.66	Professional		$54.31	$94.26	$176.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.32 / $118.32 / $132.09	Facility		$118.32	$118.32	$132.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $88.60 / $162.49	Professional		$48.23	$88.60	$162.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $127.36 / $229.49	Professional		$61.43	$127.36	$229.49
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 $50.80 / $56.49 / $122.40	Professional		$50.80	$56.49	$122.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $138.40	Professional		$32.34	$32.34	$138.40
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 $76.68 / $102.65 / $181.13	Professional		$76.68	$102.65	$181.13