Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $117.31 / $580.65	Facility		$49.39	$117.31	$580.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $72.15 / $145.04	Professional		$30.13	$72.15	$145.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.53 / $435.76 / $780.55	Facility		$335.53	$435.76	$780.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $91.22 / $160.26	Professional		$41.72	$91.22	$160.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.87 / $140.52 / $908.00	Facility		$125.87	$140.52	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $92.18 / $179.07	Professional		$39.13	$92.18	$179.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $134.08 / $385.70	Professional		$48.59	$134.08	$385.70
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 $40.82 / $43.36 / $120.34	Professional		$40.82	$43.36	$120.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $136.08	Professional		$32.34	$32.34	$136.08
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 $93.50 / $154.91 / $237.63	Professional		$93.50	$154.91	$237.63