Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.98 / $388.60 / $814.53	Facility		$101.98	$388.60	$814.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $101.98 / $139.68	Professional		$101.98	$101.98	$139.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $362.96 / $1,720.81	Facility		$124.80	$362.96	$1,720.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $115.01 / $115.01	Professional		$115.01	$115.01	$115.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Facility		$108.36	$108.36	$108.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Professional		$108.36	$108.36	$108.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $185.40 / $295.20	Professional		$125.72	$185.40	$295.20
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 $181.58 / $181.58 / $181.58	Professional		$181.58	$181.58	$181.58
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 $106.24 / $106.24 / $118.99	Professional		$106.24	$106.24	$118.99