Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.41 / $94.91 / $166.14	Facility		$63.41	$94.91	$166.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $63.41 / $83.41	Professional		$54.34	$63.41	$83.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.50 / $869.52 / $1,741.21	Facility		$406.50	$869.52	$1,741.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $96.14 / $110.00	Professional		$60.55	$96.14	$110.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,462.00 / $13,165.00 / $13,389.00	Facility		$7,462.00	$13,165.00	$13,389.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $81.90 / $113.70	Professional		$55.30	$81.90	$113.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $84.63 / $386.32	Professional		$58.36	$84.63	$386.32
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 $58.36 / $64.77 / $70.98	Professional		$58.36	$64.77	$70.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $80.26	Professional		$32.34	$32.34	$80.26
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,705.00	Facility		$165.00	$963.00	$3,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $86.62 / $141.21	Professional		$60.27	$86.62	$141.21