Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $91.20 / $229.09	Facility		$46.77	$91.20	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $109.65 / $186.21	Professional		$41.69	$109.65	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $380.19 / $831.76	Facility		$269.15	$380.19	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $263.03	Professional		$70.79	$147.91	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $407.38 / $588.84	Facility		$169.82	$407.38	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $123.03 / $234.42	Professional		$46.77	$123.03	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $177.83 / $371.54	Professional		$54.95	$177.83	$371.54
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 $53.70 / $54.95 / $162.18	Professional		$53.70	$54.95	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $562.34 / $741.31	Facility		$316.23	$562.34	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $199.53	Professional		$44.67	$102.33	$199.53