Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $141.25 / $288.40	Facility		$72.44	$141.25	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $91.20	Professional		$51.29	$67.61	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $251.19 / $1,548.82	Facility		$125.89	$251.19	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $154.88 / $309.03	Facility		$1.62	$154.88	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $61.66 / $141.25	Professional		$29.51	$61.66	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $295.12	Professional		$87.10	$147.91	$295.12
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 $100.00 / $102.33 / $109.65	Professional		$100.00	$102.33	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,511.89	Professional		$30.20	$30.20	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $144.54 / $457.09	Facility		$141.25	$144.54	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $64.57	Professional		$31.62	$38.02	$64.57