Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.49 / $103.31 / $241.90	Facility		$61.49	$103.31	$241.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $61.49 / $73.02	Professional		$61.49	$61.49	$73.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.52 / $535.71 / $1,101.40	Facility		$275.52	$535.71	$1,101.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $19.22	Professional		$19.22	$19.22	$19.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $41.16 / $114.14	Professional		$27.44	$41.16	$114.14
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 $35.67 / $35.67 / $35.67	Professional		$35.67	$35.67	$35.67
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 $64.05 / $64.05 / $72.38	Professional		$64.05	$64.05	$72.38