Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.11 / $67.11 / $130.19	Facility		$67.11	$67.11	$130.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $67.11 / $82.83	Professional		$59.02	$67.11	$82.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.29 / $475.90 / $993.14	Facility		$169.29	$475.90	$993.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.55 / $152.91 / $516.00	Facility		$85.55	$152.91	$516.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $98.52 / $157.21	Professional		$62.76	$98.52	$157.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $208.84 / $408.85	Professional		$137.05	$208.84	$408.85
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 $161.97 / $165.75 / $193.92	Professional		$161.97	$165.75	$193.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $32.34 / $2,500.00	Professional		$27.61	$32.34	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $162.44 / $281.87	Professional		$112.60	$162.44	$281.87