Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $512.86	Facility		$416.87	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $851.14	Professional		$512.86	$512.86	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $66.07 / $263.03	Facility		$19.05	$66.07	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $186.21 / $346.74	Facility		$154.88	$186.21	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $1,513.56 / $2,570.40	Professional		$199.53	$1,513.56	$2,570.40
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $323.59 / $457.09	Facility		$158.49	$323.59	$457.09