Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $97.72 / $331.13	Facility		$43.65	$97.72	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $109.65 / $208.93	Professional		$39.81	$109.65	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $891.25	Facility		$302.00	$478.63	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $204.17	Professional		$52.48	$109.65	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $407.38 / $933.25	Facility		$173.78	$407.38	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $125.89 / $251.19	Professional		$44.67	$125.89	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $194.98 / $478.63	Professional		$53.70	$194.98	$478.63
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 $48.98 / $51.29 / $165.96	Professional		$48.98	$51.29	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
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 $42.66 / $107.15 / $229.09	Professional		$42.66	$107.15	$229.09