Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $128.87 / $464.75	Facility		$70.48	$128.87	$464.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $70.48 / $128.87	Professional		$53.58	$70.48	$128.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.81 / $360.68 / $731.11	Facility		$190.81	$360.68	$731.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $75.55 / $120.93	Professional		$46.15	$75.55	$120.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $102.51 / $150.99	Professional		$69.91	$102.51	$150.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.52 / $118.02 / $325.97	Professional		$82.52	$118.02	$325.97
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 $82.17 / $87.67 / $98.71	Professional		$82.17	$87.67	$98.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.07 / $111.62	Professional		$32.34	$51.07	$111.62
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $95.99 / $154.33	Professional		$68.56	$95.99	$154.33