Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $102.33 / $181.97	Facility		$57.54	$102.33	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $141.25	Professional		$45.71	$57.54	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $1,096.48	Facility		$371.54	$575.44	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $138.04	Professional		$75.86	$89.13	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $109.65 / $407.38	Facility		$41.69	$109.65	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $281.84	Professional		$52.48	$93.33	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $275.42 / $398.11	Professional		$85.11	$275.42	$398.11
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $295.12 / $933.25	Facility		$234.42	$295.12	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $257.04	Professional		$58.88	$100.00	$257.04