Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.41 / $90.42 / $176.89	Facility		$47.41	$90.42	$176.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $108.22 / $176.89	Professional		$44.81	$108.22	$176.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $395.50 / $1,048.38	Facility		$266.89	$395.50	$1,048.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $146.33 / $271.79	Professional		$70.41	$146.33	$271.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $295.79 / $593.53	Facility		$71.19	$295.79	$593.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $123.50 / $226.71	Professional		$47.34	$123.50	$226.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $165.62 / $360.42	Professional		$55.57	$165.62	$360.42
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 $53.51 / $54.37 / $163.31	Professional		$53.51	$54.37	$163.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $184.66	Professional		$32.34	$32.34	$184.66
United Facility/Professional Facility Modifier Low / Median / High Price $315.86 / $494.17 / $734.83	Facility		$315.86	$494.17	$734.83
United Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $160.22 / $244.63	Professional		$117.25	$160.22	$244.63