Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $150.12 / $313.10	Facility		$53.10	$150.12	$313.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $55.10 / $71.20	Professional		$53.10	$55.10	$71.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.26 / $527.04 / $975.78	Facility		$248.26	$527.04	$975.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.66 / $9.66	Professional		$9.66	$9.66	$9.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $89.61 / $144.75	Professional		$59.74	$89.61	$144.75
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 $77.66 / $77.66 / $77.66	Professional		$77.66	$77.66	$77.66
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 $56.50 / $56.50 / $86.45	Professional		$56.50	$56.50	$86.45