Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $74.13 / $446.68	Facility		$41.69	$74.13	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $87.10	Professional		$33.11	$40.74	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $562.34 / $851.14	Facility		$302.00	$562.34	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $89.13	Professional		$50.12	$60.26	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $724.44 / $1,412.54	Facility		$398.11	$724.44	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $87.10	Professional		$33.88	$56.23	$87.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $199.53	Professional		$39.81	$72.44	$199.53
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 $46.77 / $47.86 / $52.48	Professional		$46.77	$47.86	$52.48
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 $338.84 / $338.84 / $1,071.52	Facility		$338.84	$338.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $75.86	Professional		$39.81	$52.48	$75.86