Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $97.48	Facility		$50.11	$50.11	$97.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $50.11 / $77.98	Professional		$42.01	$50.11	$77.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.07 / $196.37 / $838.82	Facility		$116.07	$196.37	$838.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $74.08 / $74.08	Professional		$59.02	$74.08	$74.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $104.05	Facility		$62.72	$62.72	$104.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $62.72 / $112.88	Professional		$45.79	$62.72	$112.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $116.98 / $144.16	Professional		$92.61	$116.98	$144.16
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 $126.72 / $126.72 / $126.72	Professional		$126.72	$126.72	$126.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $73.48 / $77.15	Professional		$51.43	$73.48	$77.15
United Facility/Professional Facility Modifier Low / Median / High Price $97.48 / $147.61 / $274.31	Facility		$97.48	$147.61	$274.31
United Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $48.64 / $86.12	Professional		$38.14	$48.64	$86.12