Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $162.18 / $251.19	Facility		$83.18	$162.18	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $134.90	Professional		$57.54	$83.18	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $239.88 / $794.33	Facility		$102.33	$239.88	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $61.66 / $138.04	Professional		$19.50	$61.66	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $141.25 / $302.00	Facility		$66.07	$141.25	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $151.36	Professional		$58.88	$93.33	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $389.05	Professional		$85.11	$169.82	$389.05
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 $97.72 / $100.00 / $109.65	Professional		$97.72	$100.00	$109.65
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 $32.36 / $147.91 / $467.74	Facility		$32.36	$147.91	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $141.25	Professional		$58.88	$85.11	$141.25