Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.19 / $176.83 / $179.36	Facility		$96.19	$176.83	$179.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $96.19 / $176.83	Professional		$72.55	$96.19	$176.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.22 / $2,241.58 / $5,402.48	Facility		$977.22	$2,241.58	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $139.86 / $158.75	Professional		$113.90	$139.86	$158.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $142.55 / $198.28	Professional		$102.90	$142.55	$198.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $166.86 / $624.59	Professional		$110.88	$166.86	$624.59
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 $99.61 / $120.51 / $137.28	Professional		$99.61	$120.51	$137.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $158.40	Professional		$32.34	$32.34	$158.40
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $138.27 / $216.58	Professional		$95.47	$138.27	$216.58