Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $123.03 / $239.88	Facility		$61.66	$123.03	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $79.43	Professional		$43.65	$57.54	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $251.19 / $1,318.26	Facility		$104.71	$251.19	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $131.83 / $275.42	Facility		$1.41	$131.83	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $47.86 / $102.33	Professional		$24.55	$47.86	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $218.78	Professional		$54.95	$107.15	$218.78
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 $64.57 / $66.07 / $70.79	Professional		$64.57	$66.07	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $2,511.89	Professional		$12.88	$25.70	$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 $25.12 / $33.11 / $56.23	Professional		$25.12	$33.11	$56.23