Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $173.25 / $705.60	Facility		$39.52	$173.25	$705.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $93.03 / $111.64	Professional		$89.66	$93.03	$111.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.17 / $889.91 / $1,647.57	Facility		$419.17	$889.91	$1,647.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $112.08 / $112.08	Professional		$112.08	$112.08	$112.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $306.75	Professional		$100.00	$150.00	$306.75
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 $138.59 / $138.59 / $138.59	Professional		$138.59	$138.59	$138.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $109.63	Professional		$100.00	$100.00	$109.63