Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $724.44	Facility		$70.79	$81.28	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $229.09	Professional		$70.79	$89.13	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $1,513.56	Facility		$512.86	$794.33	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $199.53 / $812.83	Facility		$85.11	$199.53	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $165.96	Professional		$56.23	$81.28	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $144.54 / $275.42	Professional		$64.57	$144.54	$275.42
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 $70.79 / $72.44 / $79.43	Professional		$70.79	$72.44	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $45.71 / $45.71	Professional		$39.81	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,479.11	Facility		$478.63	$478.63	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $288.40	Professional		$95.50	$144.54	$288.40