Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.87 / $82.99 / $115.67	Facility		$44.87	$82.99	$115.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $60.23 / $114.00	Professional		$40.97	$60.23	$114.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $53.92 / $451.03	Facility		$53.92	$53.92	$451.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $77.64 / $131.22	Professional		$53.92	$77.64	$131.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $69.23 / $77.29	Facility		$69.23	$69.23	$77.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $74.93 / $121.90	Professional		$48.44	$74.93	$121.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $98.31 / $201.01	Professional		$61.10	$98.31	$201.01
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 $51.86 / $56.73 / $90.10	Professional		$51.86	$56.73	$90.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $101.89	Professional		$32.34	$32.34	$101.89
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $831.00 / $3,685.00	Facility		$165.00	$831.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $80.47 / $136.22	Professional		$58.30	$80.47	$136.22