Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $131.69 / $213.78	Facility		$25.30	$131.69	$213.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $119.81 / $169.88	Professional		$40.99	$119.81	$169.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.82 / $1,137.59 / $2,278.04	Facility		$531.82	$1,137.59	$2,278.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.59 / $144.22 / $218.10	Professional		$122.59	$144.22	$218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $161.05 / $219.10	Professional		$105.46	$161.05	$219.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $172.33 / $677.18	Professional		$123.09	$172.33	$677.18
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 $142.47 / $149.03 / $160.02	Professional		$142.47	$149.03	$160.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $184.64	Professional		$32.34	$32.34	$184.64
United Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $140.62 / $253.36	Professional		$96.63	$140.62	$253.36