Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $51.61 / $51.61	Facility		$51.61	$51.61	$51.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $79.89 / $99.50	Professional		$51.61	$79.89	$99.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.48 / $511.51 / $646.70	Facility		$427.48	$511.51	$646.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.89 / $532.41 / $1,018.67	Facility		$501.89	$532.41	$1,018.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $108.04 / $108.04	Professional		$108.04	$108.04	$108.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $169.54 / $345.40	Professional		$120.00	$169.54	$345.40
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 $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 $83.84 / $107.49 / $164.51	Professional		$83.84	$107.49	$164.51