Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.09 / $143.66 / $229.85	Facility		$82.09	$143.66	$229.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $76.01 / $92.38	Professional		$59.58	$76.01	$92.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.86 / $252.50 / $1,943.89	Facility		$65.86	$252.50	$1,943.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $209.12 / $361.40	Facility		$6.07	$209.12	$361.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $80.94 / $142.25	Professional		$35.06	$80.94	$142.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $123.01 / $257.17	Professional		$88.91	$123.01	$257.17
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 $103.81 / $105.40 / $113.41	Professional		$103.81	$105.40	$113.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $76.42 / $76.42	Facility		$11.92	$76.42	$76.42
United Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $45.04 / $87.51	Professional		$38.57	$45.04	$87.51