Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $89.13 / $123.03	Facility		$47.86	$89.13	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $131.83	Professional		$42.66	$70.79	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $295.12 / $954.99	Facility		$234.42	$295.12	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $144.54	Professional		$58.88	$93.33	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $141.25	Professional		$53.70	$87.10	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $251.19	Professional		$66.07	$120.23	$251.19
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 $54.95 / $61.66 / $104.71	Professional		$54.95	$61.66	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $707.95 / $2,187.76	Facility		$158.49	$707.95	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $134.90	Professional		$52.48	$79.43	$134.90