Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $74.13 / $2,754.23	Facility		$58.88	$74.13	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $102.33	Professional		$30.20	$57.54	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $125.89 / $151.36	Facility		$112.20	$125.89	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $107.15 / $295.12	Facility		$63.10	$107.15	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $114.82 / $177.83	Professional		$53.70	$114.82	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$346.74
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 $74.13 / $74.13 / $229.09	Facility		$74.13	$74.13	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,041.74	Professional		$1,995.26	$1,995.26	$2,041.74