Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.65 / $87.07 / $273.68	Facility		$44.65	$87.07	$273.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $107.89 / $182.22	Professional		$41.31	$107.89	$182.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.47 / $471.96 / $895.71	Facility		$297.47	$471.96	$895.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $125.36 / $232.83	Professional		$51.93	$125.36	$232.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $295.79 / $937.82	Facility		$66.38	$295.79	$937.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $126.87 / $246.05	Professional		$47.08	$126.87	$246.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $171.40 / $432.51	Professional		$52.89	$171.40	$432.51
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 $49.54 / $50.93 / $165.05	Professional		$49.54	$50.93	$165.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $186.63	Professional		$32.34	$32.34	$186.63
United Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $169.39 / $278.39	Professional		$122.88	$169.39	$278.39