Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $58.88 / $323.59	Facility		$30.90	$58.88	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $100.00 / $257.04	Professional		$21.88	$100.00	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $630.96	Facility		$316.23	$478.63	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $79.43 / $251.19	Professional		$26.92	$79.43	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $489.78 / $933.25	Facility		$199.53	$489.78	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $151.36 / $346.74	Professional		$24.55	$151.36	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $245.47 / $1,071.52	Professional		$26.92	$245.47	$1,071.52
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 $22.39 / $25.70 / $199.53	Professional		$22.39	$25.70	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $1,148.15	Facility		$489.78	$870.96	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $144.54 / $302.00	Professional		$25.12	$144.54	$302.00