Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.01 / $148.01 / $500.40	Facility		$95.01	$148.01	$500.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $96.48 / $134.52	Professional		$83.73	$96.48	$134.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.55 / $325.49 / $1,374.98	Facility		$148.55	$325.49	$1,374.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $115.40 / $137.56	Professional		$101.94	$115.40	$137.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $124.08 / $191.98	Professional		$74.98	$124.08	$191.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $152.32 / $465.04	Professional		$105.86	$152.32	$465.04
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $111.77 / $119.48	Professional		$111.41	$111.77	$119.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $135.11	Professional		$32.34	$32.34	$135.11
United Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $124.48 / $206.13	Professional		$89.69	$124.48	$206.13