Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.89 / $86.40 / $402.60	Facility		$47.89	$86.40	$402.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $60.13 / $156.03	Professional		$41.61	$60.13	$156.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.01 / $656.72 / $1,315.08	Facility		$307.01	$656.72	$1,315.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $72.53 / $81.41	Professional		$45.68	$72.53	$81.41
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 $45.31 / $73.31 / $228.56	Professional		$45.31	$73.31	$228.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $63.79 / $443.83	Professional		$42.01	$63.79	$443.83
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 $41.31 / $47.93 / $53.55	Professional		$41.31	$47.93	$53.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $60.55	Professional		$32.34	$32.34	$60.55
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $185.40 / $300.19	Professional		$118.05	$185.40	$300.19