Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $234.42 / $380.19	Facility		$52.48	$234.42	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $64.57	Professional		$39.81	$50.12	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $208.93 / $251.19	Facility		$186.21	$208.93	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $74.13	Professional		$50.12	$50.12	$74.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $190.55 / $346.74	Professional		$81.28	$190.55	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,511.89	Professional		$30.20	$30.20	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $407.38	Facility		$112.20	$112.20	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $120.23	Professional		$53.70	$70.79	$120.23